Individual
DR. SAM HAKKI HACKETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27789 MOUND RD STE 100, WARREN, MI 48092-2697
(313) 209-3353
(313) 406-7255
Mailing address
PO BOX 880, STERLING HTS, MI 48311-0880
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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