Individual
MRS. RENEE AUTUMN HALLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
1140 E MICHIGAN AVE STE 400, LANSING, MI 48912-1806
(517) 364-9650
Mailing address
11800 CLARIDGE DR, DEWITT, MI 48820-8220
(517) 881-0399
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005152
MI
Other
Enumeration date
10/31/2007
Last updated
02/19/2024
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