Individual
MEREDITH BAILEY HAZELRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 JOHN R ST STE 615, DETROIT, MI 48201-2022
(313) 745-4195
(313) 993-8669
Mailing address
4160 JOHN R ST, DETROIT, MI 48201-2020
(419) 531-3745
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351051481
MI
Other
Enumeration date
04/07/2022
Last updated
06/04/2024
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