Individual
DR. DAVID ROGER BYRD
Active
Individual
DR. DAVID ROGER BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301067857
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016389
RAILROAD MEDICARE
MI
01
—
070F322730
BLUE CROSS BLUE SHIELD
MI
01
—
0P55960
MEDICARE
MI
01
—
5607758
AETNA PROVIDER
MI
Enumeration date
08/02/2006
Last updated
02/11/2014
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