Individual
KIMBERLY NICOLE HARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39901 TRADITIONS DRIVE, SUITE 210, NORTHVILLE, MI 48168
(888) 229-7408
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112374
MI
207RG0100X
Gastroenterology Physician
Primary
4301112374
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
06/17/2010
Last updated
12/14/2018
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