Individual
AUSTIN TYLER HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
29000 CENTER RIDGE RD STE 150, WESTLAKE, OH 44145-5219
(440) 777-3500
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(440) 777-3500
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.016267
OH
208600000X
Surgery Physician
34.016267
OH
Other
Enumeration date
04/10/2020
Last updated
09/06/2024
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