| Hackley Speciality Care | |
|
1675 Leahy St Suite 324b Muskegon MI 49442-5500 | |
| (231) 726-5075 | |
| (231) 728-7827 |
| Full Name | Hackley Speciality Care |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1675 Leahy St, Muskegon, Michigan |
| Authorized Official Name and Position | Linda Ellison (MANAGER) |
| Authorized Official Contact | 2317281678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackley Speciality Care 1675 Leahy St Suite 324b Muskegon MI 49442-5500 Ph: (231) 726-5075 | Hackley Speciality Care 1675 Leahy St Suite 324b Muskegon MI 49442-5500 Ph: (231) 726-5075 |
| NPI Number | 1508960071 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508960071 | NPI | - | NPPES |
| 4744440 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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