Provider Demographics
NPI:1750037842
Name:SCHATZ, HALEY S
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:S
Last Name:SCHATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 S AVERY RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-3400
Mailing Address - Country:US
Mailing Address - Phone:248-891-2184
Mailing Address - Fax:
Practice Address - Street 1:70 S AVERY RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-3400
Practice Address - Country:US
Practice Address - Phone:248-891-2184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-27
Last Update Date:2022-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant