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Individual

DR. DUSTIN MARK HAYWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12039 NE 128TH ST STE 500, KIRKLAND, WA 98034
(425) 899-5590
(425) 899-5588
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125055496
IL
207T00000X
Neurological Surgery Physician
Primary
MD60546371
WA

Other

Enumeration date
08/03/2008
Last updated
05/25/2021
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