Provider Information for 1922699305
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Mrs. JUDITH HAUSER
Sex: Female
NPI: 1922699305
Last Updated: 2021-01-29
Certification Date: 2021-01-29
Certification Date: 2021-01-29
Details
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NPI | 1922699305 | ||||||||
Enumeration Date | 2021-01-29 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 24630 SUSSEX ST OAK PARK, MI 48237-1539 United States Phone: 248-376-3419 | Fax: | ||||||||
Primary Practice Address | 24630 SUSSEX ST OAK PARK, MI 48237-1539 United States Phone: 248-376-3419 | Fax: | ||||||||
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