Individual
JESSICA HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
577 MICHIGAN AVE, SUITE 202, HOLLAND, MI 49423-4911
(616) 394-0673
Mailing address
175 S WAVERLY RD, HOLLAND, MI 49423-7907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101017611
MI
Other
Enumeration date
06/03/2008
Last updated
09/04/2013
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