Individual
GARY V HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
639 GRAT STRASSE RD, MANCHESTER, MI 48158-9582
(734) 646-0087
Mailing address
639 GRAT STRASSE RD, MANCHESTER, MI 48158-9582
(734) 649-1481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003265
MI
Other
Enumeration date
06/29/2006
Last updated
05/10/2022
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