Individual
DR. MARY A HAERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3475 BELL CHASE WAY, LANSING, MI 48911
(517) 882-3732
(517) 882-3633
Mailing address
3475 BELLE CHASE WAY, LANSING, MI 48911
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5315015745
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2653310225
BCBS OF MI
MI
01
—
595840000
MAGELLAN PROVIDER
MI
Enumeration date
01/25/2006
Last updated
10/07/2014
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