Individual
JEFFREY EMIL HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38855 HILLS TECH DR STE 200, FARMINGTON HILLS, MI 48331-3428
(248) 745-4900
(248) 994-4616
Mailing address
250 S TILDEN ST, PONTIAC, MI 48341-1863
(248) 745-4900
(248) 994-4616
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704203472
MI
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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