Individual
MR. GEORGE R HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3382 PINE MEADOW DR SE, UNIT 101, KENTWOOD, MI 49512-3056
(616) 365-5108
(616) 214-7735
Mailing address
3382 PINE MEADOW DR SE, UNIT 101, KENTWOOD, MI 49512-3056
(616) 365-5108
(616) 214-7735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942524459
NPI
MI
Enumeration date
03/26/2010
Last updated
10/09/2014
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