Individual
DYLAN ROBERT HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD488052
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
14969
WI
390200000X
Student in an Organized Health Care Education/Training Program
MT226482
PA
390200000X
Student in an Organized Health Care Education/Training Program
PG198810
OR
Other
Enumeration date
06/02/2020
Last updated
08/13/2026
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