Organization
MINI INVASIVE ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM HAKKI HACKETTE MD (OWNER)
(727) 422-4680
Entity
Organization
Contact information
Practice address
27789 MOUND RD STE 100, WARREN, MI 48092-2697
(313) 209-3353
(313) 406-7255
Mailing address
PO BOX 880, STERLING HEIGHTS, MI 48311-0880
(727) 422-4680
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301104354
MI
Other
Enumeration date
06/22/2016
Last updated
04/30/2021
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