Individual
GREGORY L HAZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1787 GRAND RIDGE CT. NE, SUITE 101, GRAND RAPIDS, MI 49525
(616) 774-8131
(616) 774-8204
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3242
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301057607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D17690
BLUE SHIELD
MI
05
—
2957048
—
MI
01
—
4558584
AETNA
MI
01
—
900000696
PRIORITY HEALTH
MI
Enumeration date
06/03/2006
Last updated
12/08/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us