Individual provider · Type 1 NPI
Gary V. Haynes, PA
Medical Physician Assistant · Manchester, MI
NPI number
1689602625
Active
Practice location
639 Grat Strasse Rd
Manchester, MI 48158-9582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601003265 (MI) |
Medical Physician Assistant: Definition to come...
About NPI 1689602625
Gary V. Haynes, PA's National Provider Identifier is 1689602625, issued on Jun 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manchester, MI. The record was last updated on May 10, 2022.