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Individual

DR. MICHAEL J HAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O. D.

Contact information

Practice address
2808 FORSYTHE AVE, MONROE, LA 71201-3008
(318) 323-4994
(318) 388-6913
Mailing address
2808 FORSYTHE AVE, MONROE, LA 71201-3008
(318) 323-4994
(318) 388-6913

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
891-26T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326879
LA
Enumeration date
05/23/2005
Last updated
04/05/2013
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