Individual
DR. KRISTA MARIE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1370
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-1370
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301088141
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301088141
MI
Other
Enumeration date
04/06/2007
Last updated
05/03/2013
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