Organization
GREGORY HAINES MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY HAINES MD (OWNER)
(313) 299-8900
Entity
Organization
Contact information
Practice address
8750 TELEGRAPH RD, SUITE 108, TAYLOR, MI 48180-2397
(313) 299-8900
(313) 299-8600
Mailing address
8750 TELEGRAPH RD, SUITE 108, TAYLOR, MI 48180-2397
(313) 299-8900
(313) 299-8600
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108209012
BLUE CROSS BLUE SHEILD
MI
Enumeration date
01/28/2008
Last updated
02/18/2008
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