Individual
MICHELINE HYACINTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143
(715) 735-4200
Mailing address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
64738
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048689
—
WI
05
—
1396708129
—
MI
05
—
156599601
—
TX
Enumeration date
04/11/2006
Last updated
12/03/2021
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