Dr Dustin David Reykdal, DO is a
Student In An Organized Health Care Education/training Program physician based in Detroit, Michigan. Dr Dustin David Reykdal is licensed to practice in * (Not Available) (license number ) and his current practice location is 3990 John R St, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 745-7233.
NPI number for Dr Dustin David Reykdal is 1154941805 and his current mailing address is 3225 Bacon Ave, Berkley, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154941805.
Physician's Profile
| Full Name | Dr Dustin David Reykdal |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3990 John R St, Detroit, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154941805
- Provider Enumeration Date: 04/23/2020
- Last Update Date: 11/30/2023
Medical Identifiers
Medical identifiers for Dr Dustin David Reykdal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154941805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 5101027154 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dustin David Reykdal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Dustin David Reykdal, DO
3225 Bacon Ave,
Berkley, MI 48072-1150
Ph: () - | Dr Dustin David Reykdal, DO
3990 John R St,
Detroit, MI 48201-2018
Ph: (313) 745-7233 |
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