| NPI | 1902810740 |
|---|---|
| Doing Business As | HACKLEY LAKES OBGYN |
| Entity Type | Organization |
| Authorized Contact | R MICHAEL BEAHAN Mgr 231-728-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |