Individual
MS. BALTENIA HURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7529 W PARKWAY ST, REDFORD, MI 48239-1095
(313) 359-9382
Mailing address
7529 W PARKWAY, REDFORD, MICHIGAN 48239
(313) 359-9382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
174400000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38-3838032
—
MI
Enumeration date
06/24/2011
Last updated
06/20/2012
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