Individual
DEREK E PYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3074 N US 31 S, TRAVERSE CITY, MI 49684-4533
(231) 929-1234
(231) 935-0984
Mailing address
3074 N US 31 S, TRAVERSE CITY, MI 49684-4533
(231) 929-1234
(231) 935-0984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101023845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101025413
LICENSE 2021
MI
Enumeration date
05/30/2018
Last updated
01/27/2025
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