Organization
HACKLEY COMMUNITY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE KOHN DO (MEDICAL DIRECTOR)
(231) 737-1335
Entity
Organization
Contact information
Practice address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 737-1335
(231) 737-0535
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 737-1335
(231) 737-0535
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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