Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704172946 | MI |
NPI | 1003952045 |
---|---|
Provider Name | Michele R Haselhuhn |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |