Individual
DR. SAM HAKKI HACKETTE
Active
Individual
DR. SAM HAKKI HACKETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
4301104354
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI7592002
MEDICARE IDENTIFICATION NUMBER
MI
Enumeration date
06/13/2006
Last updated
04/30/2021
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