Individual
MICHELLE M HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
463 E CIRCLE DR, EAST LANSING, MI 48824-7500
(517) 884-6546
(517) 432-9460
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-6546
(517) 432-9460
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005373
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152310670
BCBSM
MI
05
—
1780834069
—
MI
Enumeration date
09/24/2008
Last updated
06/29/2023
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