Individual
MR. MICHAEL T HAYWARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 MEDICAL PARK DR, SUITE B, MONROE, LA 71203-2388
(318) 387-6803
(318) 387-6874
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD017690
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348619
—
LA
Enumeration date
08/02/2006
Last updated
06/12/2019
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