| NPI | 1508960071 |
|---|---|
| Doing Business As | HACKLEY SPECIALITY CARE |
| Entity Type | Organization |
| Authorized Contact | LINDA ELLISON Manager 231-728-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-04-20 |