Provider Demographics
NPI:1285927244
Name:HAYES, CYNTHIA RENEE (DO)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:RENEE
Last Name:HAYES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3455 REGENCY PARK DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2559
Mailing Address - Country:US
Mailing Address - Phone:810-694-0600
Mailing Address - Fax:810-694-0601
Practice Address - Street 1:3455 REGENCY PARK DR
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-2559
Practice Address - Country:US
Practice Address - Phone:810-694-0600
Practice Address - Fax:810-694-0601
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101019341207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery