Dustin Lee Bayn, TECH

Individual provider Active NPI Other Technician · East Tawas, MI

NPI 1154863678 · NPPES record last updated Nov 15, 2016

Key facts

NPI
1154863678
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
304 West Bay St
East Tawas, MI 48730
Phone
(989) 493-9766
NPI assigned
Nov 15, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

304 West Bay St
East Tawas, MI 48730

Mailing address

304 West Bay St
East Tawas, MI 48730
Phone (989) 493-9766

Other providers in East Tawas, MI

All providers in East Tawas, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.