| NPI | 1336509546 |
|---|---|
| Doing Business As | W MICHAEL HANEY MD |
| Entity Type | Organization |
| Authorized Contact | SHADEN MARZOUK President 239-931-7254 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2023-09-28 |