Individual
DR. KYLE J HAZELWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4048 CEDAR BLUFF DR STE 1, PETOSKEY, MI 49770-8895
(231) 347-5155
(231) 668-4082
Mailing address
4048 CEDAR BLUFF DR STE 1, PETOSKEY, MI 49770-8895
(231) 347-5155
(231) 668-4082
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
111422
CA
207X00000X
Orthopaedic Surgery Physician
125052518
IL
207X00000X
Orthopaedic Surgery Physician
Primary
4301511405
MI
207X00000X
Orthopaedic Surgery Physician
46201
AZ
Other
Enumeration date
09/03/2008
Last updated
10/08/2024
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