Individual
SHAY BYRON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4832 LINCOLN BLVD, MARINA DEL REY, CA 90292
(310) 482-6910
(310) 496-0252
Mailing address
2200 NORTH MAYFAIR ROAD, SUITE 200, WAUWATOSA, WI 53226-2252
(414) 258-9511
(414) 607-3948
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A96010
CA
Other
Enumeration date
01/08/2007
Last updated
12/04/2009
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