Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101019341 | MI |
NPI | 1285927244 |
---|---|
Provider Name | Cynthia Renee Hayes |
First Address | Grand Blanc, MI 48439-2559 |
Second Address | Grand Blanc, MI 48439-2559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2011 |
Last Update Date | 18/12/2020 |