Samuel Dyka, | |
190 E State St, Montrose, MI 48457-9144 | |
(810) 639-2056 | |
Not Available |
Full Name | Samuel Dyka |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 190 E State St, Montrose, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326183989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 5601001746 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Samuel Dyka, 7070 Miller Rd, Ste A, Swartz Creek, MI 48473-1591 Ph: (810) 639-2056 | Samuel Dyka, 190 E State St, Montrose, MI 48457-9144 Ph: (810) 639-2056 |
Theresa Marie Peter, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 190 E State St, Montrose, MI 48457 Phone: 810-639-2056 | |
Megan E Fondren, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 190 E State St, Montrose, MI 48457 Phone: 810-639-2056 Fax: 810-639-3167 |