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Individual

DR. JAMES BRIAN HAERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1200 E MICHIGAN AVE, SUITE 530, LANSING, MI 48912-1800
(517) 364-5880
(517) 364-5887
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101012259
MI
207R00000X
Internal Medicine Physician
OP60633104
WA
208M00000X
Hospitalist Physician
5101012259
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1153310074
BCBS INDIVIDUAL PIN
MI
05
2250738
WA
05
4609419
MI
Enumeration date
09/27/2006
Last updated
07/25/2023
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