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Individual

DR. MICHELLE RENE HAWES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1977 E WATTLES RD, STE A, TROY, MI 48085-5047
(248) 524-9100
Mailing address
1977 E WATTLES RD, STE A, TROY, MI 48085-5047
(248) 524-9100

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005204
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11583511
CAQH
MI
01
950E0018870
BCBS
MI
Enumeration date
08/04/2006
Last updated
09/08/2016
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