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NPI Code Detail

MEDICARE: PAUL MICHAEL MCINTYRE

MEDICARE: PAUL MICHAEL MCINTYRE
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1831046457
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL MICHAEL MCINTYRE
Provider Business Mailing Address
First Line : 8032 LAKESHORE RD
Second Line :
City : LEXINGTON
State : MI
Zip : 48450-9719
Country : US
Telephone Number : 810-841-4601
Fax Number :
Provider Business Practice Location Address
First Line : 8032 LAKESHORE RD
Second Line :
City : LEXINGTON
State : MI
Zip : 48450-9719
Country : US
Telephone Number : 810-201-4987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ PAUL MICHAEL MCINTYRE ” Practice Location

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