Individual
GARY HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3175 CHRISTY WAY, STE 4, SAGINAW, MI 48603
(989) 799-1611
(989) 799-1622
Mailing address
PO BOX 406153, ALANTA, GA 30384-1876
(989) 799-1611
(989) 799-1622
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104833946
—
MI
01
—
540G30252
BLUE CROSS OF MICHIGAN
—
01
—
GH083147
BLUE CROSS OF MICHIGAN
—
Enumeration date
08/02/2006
Last updated
01/13/2009
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