Individual
DR. KATHERINE SUZANNE HAYWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 471-7741
(269) 471-1581
Mailing address
PO BOX 458, NILES, MI 49120-0458
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301066535
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-31473
PHP
MI
01
—
080088958
RAILROAD MEDICARE
MI
01
—
0801101312
BLUE CROSS
MI
05
—
1457388423
—
MI
01
—
1538397120
GROUP NPI
MI
01
—
270381199
GROUP TAX ID
MI
01
—
8823059
CIGNA
MI
Enumeration date
06/27/2006
Last updated
03/07/2023
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