| Michael J Hayduk Dds Msd Pc | |
|
450 St John Road Suite 350 Michigan City IN 46360-7347 | |
| (219) 872-3232 | |
| (219) 872-3583 |
| Full Name | Michael J Hayduk Dds Msd Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 450 St John Road, Michigan City, Indiana |
| Authorized Official Name and Position | Michael J Hayduk (PRESIDENT OWNER) |
| Authorized Official Contact | 2198723232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Hayduk Dds Msd Pc 450 St John Road Suite 350 Michigan City IN 46360-7347 Ph: (219) 872-3232 | Michael J Hayduk Dds Msd Pc 450 St John Road Suite 350 Michigan City IN 46360-7347 Ph: (219) 872-3232 |
| NPI Number | 1518040054 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518040054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 12008530 (Indiana) | Primary |
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