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Dr. Michael J Haynes

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NPI Number Detailed Information

Provider Information:

Name: Dr. Michael J Haynes
Gender: M
Provider License Number If Given: 891-26T

NPI Information:

NPI: 1407859440
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 4/5/2013

Provider Business Mailing Address:

Address: 2808 FORSYTHE AVE
Monroe, LA 71201
Phone Number: 3183234994
Fax Number: 3183886913

Provider Business Practice Location Address:

Address: 2808 FORSYTHE AVE
Monroe, LA 71201
Phone Number: 3183234994
Fax Number: 3183886913

Provider Taxonomy:

Primary: 152W00000X
Secondary (if any):
State: LA

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