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Individual

DANIELLE HAINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
(616) 252-7830
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704292130
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704292130
STATE LICENSE
MI
Enumeration date
01/06/2016
Last updated
12/07/2017
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