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NPI Code Detail

MEDICARE: MICHAEL A BYARS MD

MEDICARE:   MICHAEL A BYARS  MD
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
1207Q00000XFamily Medicine Physician4301060147MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790773166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL A BYARS MD
Provider Business Mailing Address
First Line : 3152 PORT SHELDON ST
Second Line : SUITE C
City : HUDSONVILLE
State : MI
Zip : 49426-9297
Country : US
Telephone Number : 616-669-9238
Fax Number : 616-669-8296
Provider Business Practice Location Address
First Line : 3152 PORT SHELDON ST
Second Line : SUITE C
City : HUDSONVILLE
State : MI
Zip : 49426-9297
Country : US
Telephone Number : 616-669-9238
Fax Number : 616-669-8296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 02/19/2021

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