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Individual

DR. MICHAEL DENNIS HALEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2200 N KIMBALL ST, SUITE 200, MITCHELL, SD 57301-1113
(605) 996-8989
(605) 996-6910
Mailing address
2200 N KIMBALL ST, SUITE 200, MITCHELL, SD 57301-1113
(605) 996-8989
(605) 996-6910

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2109
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7300592
SD
Enumeration date
04/25/2006
Last updated
07/08/2007
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