| Ira Zachary Dyme Md | |
|
2909 E Grand Riv Suite 108 Lansing MI 48912-4300 | |
| (517) 482-1111 | |
| (517) 482-1119 |
| Full Name | Ira Zachary Dyme Md |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 2909 E Grand Riv, Lansing, Michigan |
| Authorized Official Name and Position | Ira Zachary Dyme (OWNER) |
| Authorized Official Contact | 5174821111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ira Zachary Dyme Md 2909 E Grand Riv Suite 108 Lansing MI 48912-4300 Ph: (517) 482-1111 | Ira Zachary Dyme Md 2909 E Grand Riv Suite 108 Lansing MI 48912-4300 Ph: (517) 482-1111 |
| NPI Number | 1043381288 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043381288 | NPI | - | NPPES |
| 101559420 | Medicaid | MI | |
| 3503311161 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 4301046743 (Michigan) | Primary |
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