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PAUL M BYRNESMDPC NPI 1902075120


NPI Information

NPI: 1902075120
Provider Name: PAUL M BYRNESMDPC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
721 RIVERSIDE AVE
ADRIAN, MI
ZIP 49221
Phone: (517) 263-6378
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PAUL M BYRNESMDPC is a specialist in Adrian, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PAUL M BYRNESMDPC NPI is 1902075120. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

721 RIVERSIDE AVE
ADRIAN, MI
ZIP 49221-437
Phone: (517) 263-6378
Fax: (517) 263-4622

The provider's authorized official is Paul M Byrnes .
The authorized official title is Owner and has the following contact phone number (517) 263-6378.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 1/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistPB049310MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11946139MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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