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Individual

MARK A. HALONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
HENRY FORD HEALTH SYSTEM, 24725 E. JEFFERSON, ST. CLAIR SHORES, MI 48080
(586) 774-7800
(586) 771-0730
Mailing address
HENRY FORD HEALTH SYSTEM, 24725 E. JEFFERSON, ST. CLAIR SHORES, MI 48080
(586) 774-7800

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007876
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MH007876
CHAMPUS-CHAMPUS
Enumeration date
11/17/2006
Last updated
07/08/2007
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