| David M. Byrens, M.d., P.c. | |
|
215 E Mansion St Ste 2f Marshall MI 49068-1167 | |
| (269) 781-2111 | |
| (269) 781-3181 |
| Full Name | David M. Byrens, M.d., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 215 E Mansion St Ste 2f, Marshall, Michigan |
| Authorized Official Name and Position | David Michael Byrens (PRESIDENT) |
| Authorized Official Contact | 2697812111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David M. Byrens, M.d., P.c. 215 E Mansion St Ste 2f Marshall MI 49068-1167 Ph: (269) 781-2111 | David M. Byrens, M.d., P.c. 215 E Mansion St Ste 2f Marshall MI 49068-1167 Ph: (269) 781-2111 |
| NPI Number | 1104063155 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 02/14/2019 |
| Medicare PECOS PAC ID | 5496882367 |
|---|---|
| Medicare Enrollment ID | O20100423000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104063155 | NPI | - | NPPES |
| 0131121 | Other | MI | BLUE CROSS BLUE SHIELD MICHIGAN |
| 4349267 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DB048794 (Michigan) | Primary |
| Provider Name | David Michael Byrens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902874126 PECOS PAC ID: 0941337828 Enrollment ID: I20100423000924 |
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