Individual
DR. MICHAEL WAYNE DYE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 W EDISON RD, STE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101
Mailing address
620 W EDISON RD, STE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01069365A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01069365
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201020750
—
IN
Enumeration date
05/02/2007
Last updated
07/10/2013
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