Individual
DR. DAVID LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 RAILROAD ST, BANGOR, MI 49013-1490
(269) 427-5811
Mailing address
520 RAILROAD ST, BANGOR, MI 49013-1490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301032317
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301032317
MEDICAL DOCTOR LICENSE
MI
Enumeration date
05/09/2007
Last updated
03/07/2023
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