Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301057503 | MI |
N | 111NI0900X | Internist | 4301057503 | MI |
N | 207RR0500X | Rheumatology | 4301057503 | MI |
N | 208000000X | Pediatrician | 4301057503 | MI |
Y | 2080P0216X | Pediatric Rheumatologist | 4301057503 | MI |
NPI | 1528082880 |
---|---|
Provider Name | Hilary M Haftel |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 25/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2956828 | (05) | MI |
F58190 | (02) |