Individual
HAYA ALTOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4700 SCHAEFER RD, DEARBORN, MI 48126
(313) 581-2600
(313) 581-0228
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316368582
HAYA ALTOWN
MI
Enumeration date
12/13/2013
Last updated
08/13/2018
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