Individual
MS. HOLLY ANN HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 CHURCH ST, PLYMOUTH, MI 48170
(833) 222-4273
Mailing address
650 CHURCH ST, PLYMOUTH, MI 48170-1689
(833) 222-4273
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
12/20/2017
Last updated
08/12/2018
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