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Organization

OLIVE & HAZEL HEALTH, PLLC

Active
Other names
Fourth Trimester Doc
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE SPIES HAGGERTY DO (OWNER/FOUNDER/PHYSICIAN)
(612) 424-2241
Entity
Organization

Contact information

Practice address
12105 29TH AVE N, PLYMOUTH, MN 55441-2955
(651) 424-2241
Mailing address
12105 29TH AVE N, PLYMOUTH, MN 55441-2955
(612) 424-2241

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/02/2021
Last updated
06/24/2025
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