Individual
MICHELLE SPIES HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12105 29TH AVE N, PLYMOUTH, MN 55441-2955
(612) 424-2241
Mailing address
12105 29TH AVE N, PLYMOUTH, MN 55441-2955
(612) 424-2241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57344
MN
Other
Enumeration date
04/24/2012
Last updated
12/31/2023
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