Individual
DR. MICHELLE HISAKO HALDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
15800 DETROIT AVE, LAKEWOOD, OH 44107-3748
(162) 227-2194
(216) 227-2196
Mailing address
15800 DETROIT AVE, LAKEWOOD, OH 44107-3748
(216) 227-2194
(216) 227-2196
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003863
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280427
—
OH
Enumeration date
05/20/2015
Last updated
12/16/2024
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