| 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 |