Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Gibson

Individual provider Other Technician · NPI 1629431242

Heather Gibson is an Other Technician in Edwardsburg, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
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Practice location Address checks out

71169 Old 205
Edwardsburg, MI 49112-9796
Phone: (574) 304-5762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence G125302585744 (MI)

Record details

NPI number1629431242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESMarch 31, 2016
Mailing address71169 Old 205, Edwardsburg, MI 49112-9796

Other providers in Edwardsburg