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NPI Code Detail

MEDICARE: MADISON CLAIRE HARON

MEDICARE:   MADISON CLAIRE HARON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1477321214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON CLAIRE HARON
Provider Business Mailing Address
First Line : 4023 JANICE AVE
Second Line :
City : FORT GRATIOT
State : MI
Zip : 48059-3770
Country : US
Telephone Number : 810-941-4936
Fax Number :
Provider Business Practice Location Address
First Line : 4023 JANICE AVE
Second Line :
City : FORT GRATIOT
State : MI
Zip : 48059-3770
Country : US
Telephone Number : 810-941-4936
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2023
Last Update Date : 12/12/2023

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Directions to “ MADISON CLAIRE HARON ” Practice Location

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