Individual
MICHAEL C HAKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 E PEDRO SIMMONS DR, C/O SECC, CHARLESTON, MO 63834-1347
(573) 683-4409
Mailing address
300 E PEDRO SIMMONS DR, C/O SECC, CHARLESTON, MO 63834-1347
(573) 683-4409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2004012754
MO
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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