Individual
DR. MICHAEL L HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 674-7546
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 674-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
02938
IA
207N00000X
Dermatology Physician
Primary
036-107830
IL
207ND0101X
MOHS-Micrographic Surgery Physician
02938
IA
207ND0101X
MOHS-Micrographic Surgery Physician
036-107830
IL
Other
Enumeration date
08/30/2006
Last updated
08/15/2008
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