Individual
GREGORY WALTER HAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 W MAIN ST, MARQUETTE, MI 49855-4651
(906) 225-4606
Mailing address
26374 NETWORK PL, CHICAGO, IL 60673-1263
(906) 225-4606
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35052446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030816
UNICARE- LIFE AND HEALTH
OH
05
—
0858451
—
OH
01
—
101754
KAISER
OH
01
—
110160075
RAILROAD
OH
01
—
393424
WELLCARE OF OH
OH
01
—
P52466
SUMMACARE HEALTH PLAN
OH
Enumeration date
02/14/2006
Last updated
06/11/2013
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