| Doctor Name: | DONALD P. HEILALA |
| NPI Number: | 1053328526 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 5901001173 |
| Business Practice Address: | 844 Pyle Dr Kingsford, MI - 498024455 |
| Business Phone Number: | 9067741155 |
| Business Fax Number: | 9067740147 |
| Mailing Address: | Po Box 2218, KINGSFORD |
| State: | MI |
| Postal Code: | 498022218 |
| Phone Number: | 9067741155 |
| Fax Number: | 9067740147 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 04/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 5901001173 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |