Individual
MIKAEL DAVID HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPRC
Contact information
Practice address
3918 N SCHREIBER WAY STE B, COEUR D ALENE, ID 83815-8395
(208) 261-9948
Mailing address
3918 N SCHREIBER WAY STE B, COEUR D ALENE, ID 83815-8395
(208) 261-9948
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
13066
ID
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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