# MR. RANDY PAUL AYRES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205043254
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2301009460 | MI | — |
| 111N00000X | Chiropractor | 25304 | CA | — |
| 2084P0800X | Psychiatry Physician | 4301086223 | MI | — |
| 208D00000X | General Practice Physician | 4301086223 | MI | Yes |
| 208D00000X | General Practice Physician | 50357 | WI | — |
| 208D00000X | General Practice Physician | A101173 | CA | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 07/07/2022