Individual
MIKE HEWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
261 M-62, CASSOPOLIS, MI 49031
(269) 445-3874
Mailing address
122 GRANT ST, NILES, MI 49120-2281
(269) 262-4364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022012
MI
Other
Enumeration date
08/28/2016
Last updated
10/18/2016
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