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Individual

DR. JAMES ROBERT HIRT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
14229 TORREY RD, SUITE #1, FENTON, MI 48430-3308
(810) 629-3338
(810) 629-9243
Mailing address
14229 TORREY RD, SUITE #1, FENTON, MI 48430-3308
(810) 629-3338
(810) 629-9243

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002200
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01011731
HEALTHPLUS
MI
05
1558557363
MI
01
4852512480
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/15/2007
Last updated
01/25/2012
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