Individual
MR. STEVEN CARL HAERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
406 N 5TH ST, ROSCOMMON, MI 48653
(989) 275-9029
(989) 275-9029
Mailing address
PO BOX 717, GRAYLING, MI 49738
(989) 275-9029
(989) 275-9029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OG25007
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/17/2006
Last updated
12/06/2007
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