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

Heidi Wallour, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114712874

Heidi Wallour, MD is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3990 John R Ste 615 Harper Professional Bldg
Detroit, MI 48201
Phone: (313) 745-4195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114712874
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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