Individual
PAUL HAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5300 PATTERSON AVE SE STE 125, GRAND RAPIDS, MI 49512-9627
(616) 222-5601
Mailing address
212 MILL ST, IONIA, MI 48846-1855
(616) 523-2872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704399723
MI
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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