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NPI Code Detail

MEDICARE: MS. DANA LYNN EYLER PA-C

MEDICARE: MS. DANA LYNN EYLER 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
1363AM0700XMedical Physician Assistant5601002038MI

General Provider Information

NPI Number : 1669741963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANA LYNN EYLER PA-C
Provider Business Mailing Address
First Line : 45900 GEDDES RD
Second Line :
City : CANTON
State : MI
Zip : 48188-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45900 GEDDES RD
Second Line :
City : CANTON
State : MI
Zip : 48188-2306
Country : US
Telephone Number : 734-879-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2011
Last Update Date : 07/31/2015

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