person
Mr. Samuel G Dyste, PA
Medical Physician Assistant in East Jordan, Michigan
NPI 1902098395

Samuel G Dyste is a Medical Physician Assistant based in East Jordan, MI and is specialized in Medical. Samuel G Dyste practices in East Jordan, MI and has the professional credentials of PA. The NPI Number for Samuel G Dyste is 1902098395 and holds a License No. 5601005079 (Michigan).

The current practice location address for Samuel G Dyste is 601 Bridge St, East Jordan, MI and can be reached out via phone at 231-536-2206 and via fax at 231-536-9864.

Location: 601 Bridge St, East Jordan, MI, 49727-9383
person
Provider Profile Details
NPI Number
1902098395
Provider Name
Samuel G Dyste
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
601 Bridge St, East Jordan, MI, 49727-9383
Phone Number
231-536-2206
Fax Number
231-536-9864
Provider Enumeration Date
08/10/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 Bridge St
City
State
Zip
49727-9383
Phone Number
231-536-2206
Fax Number
231-536-9864
person
Provider Business Mailing Address Details
Address
601 Bridge St
City
State
Zip
49727-9383
Phone Number
231-536-2206
Fax Number
231-536-9864
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601005079 (Michigan)
Definition
Definition to come...
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