Individual
MR. MICHAEL ANTHONY HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(216) 906-4812
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(216) 906-4812
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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