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NPI Code Detail

MEDICARE: HAYDEN MICHAEL SPRYN PA-C

MEDICARE: HAYDEN MICHAEL SPRYN PA-C
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
1363A00000XPhysician Assistant10004241AIN

General Provider Information

NPI Number : 1366229254
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYDEN MICHAEL SPRYN PA-C
Provider Business Mailing Address
First Line : 608 UNION CHAPEL RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-9357
Country : US
Telephone Number : 260-482-4440
Fax Number :
Provider Business Practice Location Address
First Line : 11109 PARKVIEW PLAZA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number : 260-482-4440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2023
Last Update Date : 03/25/2026

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Directions to “ HAYDEN MICHAEL SPRYN PA-C” Practice Location

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