Individual
DR. MARY A HAERING
Active
Individual
DR. MARY A HAERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
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
Update your record
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