MEDICARE: JOANN HIRTH MD

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
1	207RH0003X	Hematology & Oncology Physician	JH061550	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821063363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN HIRTH MD

Provider Business Mailing Address
First Line	:	1100 E MICHIGAN AVE
Second Line	:	SUITE 307
City	:	JACKSON
State	:	MI
Zip	:	49201-1847
Country	:	US
Telephone Number	:	517-205-1594
Fax Number	:	517-205-1540

Provider Business Practice Location Address
First Line	:	1100 E MICHIGAN AVE
Second Line	:	SUITE 307
City	:	JACKSON
State	:	MI
Zip	:	49201-1847
Country	:	US
Telephone Number	:	517-205-1594
Fax Number	:	517-205-1540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	08/08/2023

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Directions to “ JOANN HIRTH MD” Practice Location

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