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NPI Code Detail

MEDICARE: TIMOTHY LEE HAYES D.O.

MEDICARE: TIMOTHY LEE HAYES D.O.
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician5101013323MI
2207Q00000XFamily Medicine Physician5101013323MI

General Provider Information

NPI Number : 1497967202
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY LEE HAYES D.O.
Provider Business Mailing Address
First Line : PO BOX 427
Second Line :
City : HILLMAN
State : MI
Zip : 49746-0427
Country : US
Telephone Number : 989-742-4583
Fax Number :
Provider Business Practice Location Address
First Line : 15774 STATE ST
Second Line :
City : HILLMAN
State : MI
Zip : 49746-7961
Country : US
Telephone Number : 989-742-4583
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 05/20/2011

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