Individual
MICHAEL R HARBUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., F.C.C.
Contact information
Practice address
118 N WASHINGTON AVE, ROYAL OAK, MI 48067-1751
(248) 547-9100
(248) 547-9336
Mailing address
PO BOX 112, JENISON, MI 49429-0112
(231) 652-2500
(616) 837-6031
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MH0048645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263220210
—
MI
Enumeration date
11/04/2005
Last updated
12/10/2009
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