MEDICARE: MR. RANDY C MAYERSON M.T.

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
1	247200000X	Other Technician		MI

General Provider Information

NPI Number	:	1578525093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANDY C MAYERSON M.T.

Provider Business Mailing Address
First Line	:	1311 MAUREEN AVE
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2934
Country	:	US
Telephone Number	:	248-545-6963
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 MAUREEN AVE
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-2934
Country	:	US
Telephone Number	:	248-545-6963
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1487743415 — MR. TARICK IQAL
Practice Location Address:

25853 FORD RD
DEARBORN HEIGHTS, MI
48127-2934

Practice Phone: 313-562-7392
Practice Fax:

1285702563 — DR. EDWARD EARL BUNCH M.D.
Practice Location Address:

415 E FM 2410 RD , UNIT 2818
HARKER HEIGHTS, TX
76548-2934

Practice Phone: 254-690-2338
Practice Fax: 254-690-2349

1932437712 — TODDS PHARMACY INC
Practice Location Address:

25871 FORD RD
DEARBORN HEIGHTS, MI
48127-2934

Practice Phone: 313-406-5279
Practice Fax: 313-406-5377

1710867353 — INSPIRING LOVING HOPE HOMES LLC
Practice Location Address:

3125 PECK ST
MUSKEGON HEIGHTS, MI
49444-2934

Practice Phone: 470-628-0756
Practice Fax:

1851677249 — WELLNES SERVICES
Practice Location Address:

2934 UNION ST
MADISON, WI
53704-5139

Practice Phone: 608-228-0979
Practice Fax:

1679936249 — SOPHIE KAMPS BCBA
Practice Location Address:

3113 W BELTLINE HWY STE 300
MADISON, WI
53713-2934

Practice Phone: 608-819-6810
Practice Fax:

Directions to “ MR. RANDY C MAYERSON M.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.