Individual
TOBY HAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1703 BELLWOOD CT, BLOOMFIELD HILLS, MI 48302-2601
(248) 932-2500
(248) 932-2506
Mailing address
1703 BELLWOOD CT, BLOOMFIELD HILLS, MI 48302-2601
(248) 932-2500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301035111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4182959
—
MI
Enumeration date
08/15/2005
Last updated
02/03/2021
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