Organization
HPCN
Active
Other names
HACKLEY INTERNAL MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA ELLISON (MANAGER)
(231) 728-1678
Entity
Organization
Contact information
Practice address
1675 LEAHY ST, SUITE 215A, MUSKEGON, MI 49442-5500
(231) 728-1690
(231) 728-1689
Mailing address
1675 LEAHY ST, SUITE 215A, MUSKEGON, MI 49442-5500
(231) 728-1690
(231) 728-1689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MI
Other
Enumeration date
06/19/2006
Last updated
01/09/2008
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