Individual
MICHAEL J HAYDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS D
Contact information
Practice address
450 ST JOHN ROAD, SUITE 350, MICHIGAN CITY, IN 46360-7347
(219) 872-3232
(219) 872-3583
Mailing address
450 ST JOHN ROAD, SUITE 350, MICHIGAN CITY, IN 46360-7347
(219) 872-3232
(219) 872-3583
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12008530
IN
Other
Enumeration date
10/19/2006
Last updated
01/16/2015
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