Individual
MR. MICHAEL COLIN LAHAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Mailing address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004872
MI
363AS0400X
Surgical Physician Assistant
5601004872
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376637660
—
MI
01
—
1417961137
BCBSM - BRONSON
MI
Enumeration date
10/03/2006
Last updated
11/27/2023
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