Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 4301039949 | MI |
NPI | 1013994425 |
---|---|
Provider Name | Maria F Hayes |
First Address | Detroit, MI 48267-3739 |
Second Address | Dearborn, MI 48124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 20/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
508463 | PREF CHOICE/CARE CHOICE (01) | MI |
5444176 | AETNA (01) | MI |
B44448 | (02) | |
B44448 | UPIN (01) | MI |
MH039949 | LICENSE (01) | MI |