Individual
I. ZACHARY DYME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 SERVICE RD STE A217, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-8122
(517) 432-3713
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301046743
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101559420
—
MI
05
—
1275604407
—
MI
01
—
3503311161
BCBS OF MICHIGAN
MI
Enumeration date
11/10/2006
Last updated
06/23/2023
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