Michael J Hayduk
Periodontist
450 St John Road Suite 350
Michigan City
, Indiana 46360-7347
Michael J Hayduk
Periodontist
450 St John Road Suite 350
Michigan City
, Indiana 46360-7347
(219) 872-3583
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Michael J Hayduk
- 450 St John Road Suite 350
- Michigan City, IN
- Zip : 46360-7347
- Fax : (219) 872-3583
- Phone : (219) 872-3232
Second Address
- Michael J Hayduk
- 450 St John Road Suite 350
- Michigan City, IN
- Zip : 46360-7347
- Fax : (219) 872-3583
- Phone : (219) 872-3232
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 12008530 | IN |
National Provider Identifier
| NPI | 1114009057 |
|---|---|
| Provider Name | Michael J Hayduk |
| First Address | Michigan City, IN 46360-7347 |
| Second Address | Michigan City, IN 46360-7347 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 16/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.