Jill Marie Haske
NPI #1053689190 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1053689190
- Entity Type
- Individual
- Name
- Jill Marie Haske
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist
- Enumeration Date
- Dec 4, 2011
- Last Updated
- Dec 4, 2011
Practice Location
- Address
- 1490 E BELTLINE AVE SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49506-4336
- Phone
- (906) 298-1897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist |
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