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Individual

SHARON R HAYWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 W ICE LAKE RD, IRON RIVER, MI 49935-9526
(906) 308-0230
Mailing address
N1246 COUNTY ROAD H, STANLEY, WI 54768-9618
(715) 644-8168

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39964
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11068-0010
MEDICARE WPS PART B
WI
05
31640800
WI
Enumeration date
01/18/2006
Last updated
03/17/2018
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