MEDICARE: DR. ALBERT NORMAN BAYER M.D.

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	2084P0805X	Geriatric Psychiatry Physician	4301407044	MI

General Provider Information

NPI Number	:	1679755979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT NORMAN BAYER M.D.

Provider Business Mailing Address
First Line	:	5829 W MAPLE RD
Second Line	:	SUITE 123
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2294
Country	:	US
Telephone Number	:	248-737-7260
Fax Number	:	248-737-0667

Provider Business Practice Location Address
First Line	:	5829 W MAPLE RD
Second Line	:	SUITE 123
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-2294
Country	:	US
Telephone Number	:	248-737-7260
Fax Number	:	248-737-0667

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

Provider Enumeration Date	:	11/29/2007
Last Update Date	:	11/29/2007

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