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Individual

MICHAELA MARY HASENKRUG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
1990 RED CROW RD, VICTOR, MT 59875-9633
(406) 360-9083

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18399
ND
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2019
Last updated
09/12/2025
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