Individual
MICHAEL B. HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 401, SOUTHFIELD, MI 48075-4825
(248) 569-0306
(248) 569-3064
Mailing address
22250 PROVIDENCE DR, SUITE 401, SOUTHFIELD, MI 48075-4825
(248) 569-0306
(248) 569-0364
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301042292
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1782330
—
MI
Enumeration date
01/27/2006
Last updated
07/08/2007
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