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Individual

JEFFREY R HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
35050 23 MILE RD, SUITE B, NEW BALTIMORE, MI 48047-3606
(586) 725-0477
(586) 725-8835
Mailing address
35050 23 MILE RD, SUITE B, NEW BALTIMORE, MI 48047-3606
(586) 725-0477
(586) 725-8835

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009868
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4373271
MI
01
700E031610
BCBS GROUP NUMBER
MI
Enumeration date
03/28/2006
Last updated
09/26/2011
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