Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT216060 | PA |
N | 111NI0900X | Internist | MT216060 | PA |
Y | 207RA0201X | Internist - Allergy & Immunology | 4351048005 | MI |
NPI | 1801389580 |
---|---|
Provider Name | Dr. Michael Hauk |
First Address | Novi, MI 48377-3600 |
Second Address | Novi, MI 48377-3600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2018 |
Last Update Date | 09/11/2021 |