Organization
MICHAEL J HAIKEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J HAIKEN MD (PRESIDENT)
(239) 691-3987
Entity
Organization
Contact information
Practice address
13691 METRO PKWY, SUITE 310, FORT MYERS, FL 33912-4327
(239) 691-3987
Mailing address
6017 COCOS DR, FORT MYERS, FL 33908-4618
(239) 691-3987
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
49016
FL
Other
Enumeration date
01/24/2007
Last updated
01/04/2023
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