Michael D Haggerty JR., IDC
NPI #1538367123 in Diamondhead, Mississippi
Provider Information
- NPI Number
- 1538367123
- Entity Type
- Individual
- Name
- Michael D Haggerty JR., IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1049 BAYOU PL
- City
- Diamondhead
- State
- Mississippi
- ZIP Code
- 39525-4108
- Phone
- (228) 871-2810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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