| Doctor Name: | GREGORY JOHN HAYTER |
| NPI Number: | 1013222736 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 4704190776 |
| Business Practice Address: | 405 W Greenlawn Ave Stuite 400 Lansing, MI - 489102898 |
| Business Phone Number: | 5174837550 |
| Business Fax Number: | 5174837575 |
| Mailing Address: | 1535 Berkeley Dr, LANSING |
| State: | MI |
| Postal Code: | 489101122 |
| Phone Number: | 5174845921 |
| Fax Number: | 5174837575 |
| NPI Enumeration Date: | 08/18/2010 |
| NPI Last Update Date: | 08/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704190776 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |