Individual
IRENE SANDRA HAGGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 DEQUINDRE RD STE 315, TROY, MI 48085-1128
(248) 964-1466
(248) 964-1464
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
148944
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
4704348204
MI
Other
Enumeration date
03/01/2012
Last updated
02/24/2025
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