Dyk, Randall L

Dyk, Randall L is an individual health care provider with primary practice located at 5629 Stadium Dr , Kalamazoo MI 49009-1952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dyk, Randall L can be contacted via phone (269) 372-1000.

Contact Information

Primary practice address
5629 Stadium Dr Kalamazoo MI 49009-1952
Phone: (269) 372-1000
Fax: (269) 372-0698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301076181 Michigan

Profile Details

NPI number 1033199674
LBN Legal business name Dyk, Randall L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033199674 NPPES
Michigan MEDICAID 4630842
Michigan Other CA4396
Michigan MEDICAID 4526826

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