Individual
TIMOTHY LEROY HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
PO BOX 670660, DETROIT, MI 48267-0660
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704188756
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704188756
MI
Other
Enumeration date
09/26/2006
Last updated
04/15/2025
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