Individual
HALEY MATTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 W FAIR AVE STE 190, MARQUETTE, MI 49855-5406
(906) 225-1321
Mailing address
5544 COUNTY ROAD AF, CHAMPION, MI 49814-9767
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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