Provider Demographics
NPI:1669590931
Name:HAYOSTEK, DONOVAN MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:DONOVAN
Middle Name:MICHAEL
Last Name:HAYOSTEK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 MARSCHALL RD
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-3310
Mailing Address - Country:US
Mailing Address - Phone:952-451-3761
Mailing Address - Fax:952-403-1006
Practice Address - Street 1:1830 MARSCHALL RD
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3310
Practice Address - Country:US
Practice Address - Phone:952-451-3761
Practice Address - Fax:952-403-1006
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNMBCE3466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor