IndividualActive
Adrienne Haralson
NPI 1104035229 · Specialist · Detroit, MI
Provider details
- NPI number
- 1104035229
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
1475 E Outer Dr
Detroit, MI 48234-1265
Phone: (313) 371-0055
Fax: (313) 371-1409
Mailing address
24330 Pembroke Ave
Detroit, MI 48219-1050
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.