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Individual

GARY W HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
859 MANKATO AVENUE, WINONA, MN 55987
(507) 454-3680
(507) 457-7672
Mailing address
855 MANKATO AVE, WINONA HEALTH SERVICES, WINONA, MN 55987-4868
(507) 454-3680
(507) 457-7672

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D7987
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
582518100
MN
Enumeration date
08/08/2006
Last updated
12/20/2010
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