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NPI Code Detail

MEDICARE: DR. RICHARD PAUL PAYEA MD

MEDICARE:  DR. RICHARD PAUL PAYEA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301047848MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124019674
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD PAUL PAYEA MD
Provider Business Mailing Address
First Line : PO BOX 392
Second Line : 1195 TAWAS BEACH RD
City : EAST TAWAS
State : MI
Zip : 48730-0392
Country : US
Telephone Number : 989-362-2141
Fax Number : 989-362-7740
Provider Business Practice Location Address
First Line : 1195 TAWAS BEACH RD
Second Line :
City : EAST TAWAS
State : MI
Zip : 48730
Country : US
Telephone Number : 989-362-2141
Fax Number : 989-362-7740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD PAUL PAYEA MD” Practice Location

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