Individual
DR. HEATHER KAISER HAYANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301104460
MI
390200000X
Student in an Organized Health Care Education/Training Program
ML 60152624
WA
Other
Enumeration date
03/23/2010
Last updated
12/01/2014
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