Individual
MATTHEW J HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 MICHIGAN ST NE STE 402, GRAND RAPIDS, MI 49503-2538
(616) 391-1405
(616) 391-8611
Mailing address
221 MICHIGAN ST NE STE 402, GRAND RAPIDS, MI 49503-2538
(616) 391-1405
(616) 391-8611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301115389
MI
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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