Organization · Type 2 NPI

Olive & Hazel Health, PLLC

Family Medicine Physician · Plymouth, MN

NPI number 1629742903 Active

Practice location

12105 29th Ave N
Plymouth, MN 55441-2955

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Michelle Spies Haggerty, MDFamily Medicine Physician Plymouth, MN NPI 1154689578

Other family medicine physician providers in Plymouth

See all in Plymouth →

NPI record

NPI: 1629742903
Entity type: Organization (Type 2)
Issued: Aug 2, 2021
Last updated: Jun 24, 2025
Status: Active

Other names

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Fourth Trimester Doc · doing business as
Fourth Trimester Doc · doing business as

Authorized official

Michelle Spies Haggerty, DO
Owner/founder/physician
(612) 424-2241

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629742903

Olive & Hazel Health, PLLC's National Provider Identifier is 1629742903, issued on Aug 2, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Plymouth, MN. The record was last updated on Jun 24, 2025.