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Individual

ANNE G HARTIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
39901 TRADITIONS DRIVE, NORTHVILLE, MI 48168-9493
(248) 305-4400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
4301073828
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301073828
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4414786
MI
Enumeration date
10/19/2006
Last updated
11/04/2019
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