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NPI Code Detail

MEDICARE: RICHARD M. HAYES M.D.

MEDICARE: RICHARD M. HAYES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician39274-20WI

General Provider Information

NPI Number : 1053499566
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD M. HAYES M.D.
Provider Business Mailing Address
First Line : 100 - 15TH AVE.
Second Line : STE. 180
City : SOUTH MILWAUKEE
State : WI
Zip : 53172-1160
Country : US
Telephone Number : 414-768-5430
Fax Number : 414-747-8848
Provider Business Practice Location Address
First Line : 2000 E LAYTON AVE
Second Line :
City : SAINT FRANCIS
State : WI
Zip : 53235-6053
Country : US
Telephone Number : 414-744-6589
Fax Number : 414-747-8848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/26/2013

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