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NPI Code Detail

MEDICARE: HALEY IRIONDO

MEDICARE: HALEY IRIONDO
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
1242T00000XPerfusionist

General Provider Information

NPI Number : 1306779319
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY IRIONDO
Provider Business Mailing Address
First Line : 45211 HELM ST
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-6023
Country : US
Telephone Number : 734-525-9712
Fax Number : 734-525-9712
Provider Business Practice Location Address
First Line : 45211 HELM ST
Second Line :
City : PLYMOUTH
State : MI
Zip : 48170-6023
Country : US
Telephone Number : 734-525-9712
Fax Number : 734-525-9712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ HALEY IRIONDO ” Practice Location

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