Individual
DR. EDWARD J HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 GREENBRIER RD, STE 440, GREEN BAY, WI 54311-6519
(920) 288-8480
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
52026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35354700
—
WI
01
—
52026
WI LICENSE
WI
Enumeration date
05/14/2007
Last updated
08/28/2024
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