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NPI Code Detail

MEDICARE: MR. JOHN MICHAEL HAYES RN

MEDICARE: MR. JOHN MICHAEL HAYES RN
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
1163W00000XRegistered Nurse4704123094MI

General Provider Information

NPI Number : 1346505633
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN MICHAEL HAYES RN
Provider Business Mailing Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Provider Business Practice Location Address
First Line : 1613 STAR BATT DR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-3706
Country : US
Telephone Number : 248-844-9650
Fax Number : 248-844-9651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2012
Last Update Date : 07/12/2012

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