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Dr. Michael Wayne Dye JR., MD
Diagnostic Radiology Physician in Mishawaka, Indiana
NPI 1205057635

Michael Wayne Dye JR. is a Diagnostic Radiology Physician based in Mishawaka, IN and is specialized in Diagnostic Radiology. Michael Wayne Dye JR. practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Michael Wayne Dye JR. is 1205057635 and holds a License No. 01069365A (Indiana).

The current practice location address for Michael Wayne Dye JR. is 620 W Edison Rd, Mishawaka, IN and can be reached out via phone at 574-258-1100 and via fax at 574-258-1101.

Location: 620 W Edison Rd, Mishawaka, IN, 46545-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205057635
Provider Name
Michael Wayne Dye JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 W Edison Rd, Mishawaka, IN, 46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201020750 05 IN
institution
Provider Business Practice Location Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider Business Mailing Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
01069365 (Indiana)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01069365A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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