Hackley Community Care Center INC

NPI #1861758658 in Muskegon, Michigan

Provider Information

NPI Number: 1861758658
Entity Type: Organization
Organization Name: Hackley Community Care Center INC
Primary Specialty: Family Medicine
Enumeration Date: Apr 5, 2012
Last Updated: Apr 5, 2012

Practice Location

Address: 2700 BAKER ST FL 3
City: Muskegon
State: Michigan
ZIP Code: 49444-2157
Phone: (231) 737-1335

Authorized Official

Name: WAYNE KOHN, DO
Title: MEDICAL DIRECTOR
Phone: (231) 737-1335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X
Family Medicine	207Q00000X	Primary

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