Individual
DAYLE LYN MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503
(616) 242-0481
(616) 456-4850
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 957-8178
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301047733
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104540262
—
MI
01
—
4301047733
BLUE CROSS FACILITY
MI
01
—
DMO47733
BLUE CROSS PROFESSIONAL
MI
Enumeration date
05/19/2006
Last updated
09/06/2012
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