Provider Demographics
NPI:1669710869
Name:HATFIELD, HAYES H (MD)
Entity type:Individual
Prefix:DR
First Name:HAYES
Middle Name:H
Last Name:HATFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2374 LAKE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-1012
Mailing Address - Country:US
Mailing Address - Phone:262-646-2378
Mailing Address - Fax:
Practice Address - Street 1:2374 LAKE VIEW CT
Practice Address - Street 2:
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-1012
Practice Address - Country:US
Practice Address - Phone:262-646-2378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17224207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine