Sean Haddow

NPI #1720847064 in Fort Gratiot, Michigan

Provider Information

NPI Number: 1720847064
Entity Type: Individual
Name: Sean Haddow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Mar 18, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 4216 24TH AVE STE 100
City: Fort Gratiot
State: Michigan
ZIP Code: 48059-4083
Phone: (810) 984-8669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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