Individual
DR. JOHN ROBERT HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1050 WISHARD BLVD RG-4201, INDIANAPOLIS, IN 46202
(317) 278-3662
(317) 278-2243
Mailing address
1050 WISHARD BLVD RG-4201, INDIANAPOLIS, IN 46202
(317) 278-3662
(317) 278-2243
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
42000389A
IN
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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