Individual
DR. JOHN M DYSART
Active
Individual
DR. JOHN M DYSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
JD063672
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85305
BLUE CARE NETWORK
MI
05
—
L3338287
—
MI
Enumeration date
08/25/2005
Last updated
06/01/2026
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