Individual
BRANDON MATTHEW HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
10300 N ILLINOIS ST, CARMEL, IN 46290-1166
(317) 817-8080
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
75000206A
IN
Other
Enumeration date
01/22/2025
Last updated
03/04/2025
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