Individual
HEATHER LYNN HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1711 S STEPHENSON AVE, SUITE 300, IRON MOUNTAIN, MI 49801-3650
(906) 774-1633
(906) 077-4163
Mailing address
1711 S STEPHENSON AVE, SUITE 300, IRON MOUNTAIN, MI 49801-3650
(906) 774-1633
(906) 774-1633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005078
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH005078
BCBS OF MI
MI
Enumeration date
10/19/2007
Last updated
04/07/2011
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