Randall L Dyk, MD | |
5629 Stadium Dr, Kalamazoo, MI 49009-1952 | |
(269) 372-1000 | |
(269) 372-0698 |
Full Name | Randall L Dyk |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5629 Stadium Dr, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033199674 | NPI | - | NPPES |
4630842 | Medicaid | MI | |
CA4396 | Other | MI | RAILROAD MEDICARE |
4526826 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301076181 (Michigan) | Primary |
Entity Name | Bronson Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Mailing Address | Practice Location Address |
---|---|
Randall L Dyk, MD 5629 Stadium Dr, Kalamazoo, MI 49009-1952 Ph: (269) 372-1000 | Randall L Dyk, MD 5629 Stadium Dr, Kalamazoo, MI 49009-1952 Ph: (269) 372-1000 |
Nancy J Hilleren, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6210 W Main St, Kalamazoo, MI 49009 Phone: 269-286-7030 | |
Martin B Draznin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6430 | |
Dr. Erica Vanderkooy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6400 | |
Sonia Lynn Joychan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4400 | |
Robin Pierucci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Box 41, Kalamazoo, MI 49007 Phone: 269-341-6469 Fax: 269-341-6236 | |
Cinthya G. Melendez Contreras, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641 |