Individual
DR. JULIE HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
17422 W 10 MILE RD, B, SOUTHFIELD, MI 48075-2925
(248) 443-7245
(248) 443-7258
Mailing address
PO BOX 36606, GROSSE POINTE, MI 48236-0606
(248) 443-7245
(248) 443-7258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4265873
—
MI
Enumeration date
03/24/2006
Last updated
09/09/2007
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