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Individual

KAREN L HAUBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
Mailing address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175T00000X
MI
Enumeration date
12/19/2018
Last updated
12/19/2018
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