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Individual

DR. JAMES RANDOLPH HILLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 FOUST HALL, MT PLEASANT, MI 48859-1037
(989) 774-6599
(989) 774-4335
Mailing address
202 FOUST HALL, MT PLEASANT, MI 48859-0001
(989) 774-6599
(989) 774-4335

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301041240
MI
2084P0800X
Psychiatry Physician
50439
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700966785
MI
Enumeration date
10/16/2006
Last updated
11/28/2017
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