MEDICARE: HAILEY SUTTON HIS

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	237700000X	Hearing Instrument Specialist	3502013346	MI

General Provider Information

NPI Number	:	1952263287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILEY SUTTON HIS

Provider Business Mailing Address
First Line	:	2046 S CEDAR ST
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2046 S CEDAR ST
Second Line	:
City	:	IMLAY CITY
State	:	MI
Zip	:	48444-9606
Country	:	US
Telephone Number	:	810-721-7274
Fax Number	:	810-721-7275

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

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

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Directions to “ HAILEY SUTTON HIS” Practice Location

Language	Start Address	Practice Location

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