Search › Michigan › 207R00000X
Rickie Hardaway, MD
NPI 1316903198 · on the registry since 2006
Practice
- Address
- 15865 Wyoming
Detroit, MI 48238 - Phone
- (313) 342-2576
- Fax
- (313) 342-4486
Additional practice sites
- 2081 W Grand Blvd, Detroit, MI
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RA0401X
208000000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan