Mark W Lay M.D.

NPI 1003803313 - Family Medicine - 207Q00000X

NPI Details
NPI 1003803313
Gender Male
Enumeration Date 10/03/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
117 S BROADWAY ST
CASSOPOLIS MI, 49031-1242, US
Phone (269) 445-0771
Fax
Business Location
117 S BROADWAY ST
CASSOPOLIS MI, 49031-1242, US
Phone (269) 445-0771
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 236771
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According to our database, Dr. Mark W Lay M.D. NPI is 1003803313, taxonomy code is 207Q00000X and license number is 236771, license state is located at New York. Mark W Lay M.D. physically located at 117 S Broadway St, Cassopolis MI, 49031-1242. NPI Number Mark W Lay M.D. has the Individual type.

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1003803313 NPI number is provided on an as is basis without warranty of any kind. 1003803313 is maintained by the National Plan & Provider Enumeration System. The contents of Mark W Lay M.D. are for informational purposes only.