Individual
HAILEY CARRUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(718) 501-8283
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(718) 501-8283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351050077
MI
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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