Individual
MR. JAMES HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
23077 GREENFIELD RD STE 489, SOUTHFIELD, MI 48075-3740
(248) 423-3900
(248) 423-8169
Mailing address
17555 OAK DR, DETROIT, MI 48221-2746
(313) 861-3275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JH005593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4539332
—
MI
Enumeration date
12/04/2006
Last updated
07/08/2007
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