Individual
HALEY FOLLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21401 ALLEN RD, WOODHAVEN, MI 48183-1665
(734) 675-0835
Mailing address
7100 LAKESHORE DR, NEWPORT, MI 48166-9787
(734) 552-1861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
05/01/2023
Last updated
08/30/2024
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