Dr. John M Dysart
Pediatric Cardiologist
3960 Patient Care Dr Suite 113
Lansing
, Michigan 48911-4275
Dr. John M Dysart
Pediatric Cardiologist
3960 Patient Care Dr Suite 113
Lansing
, Michigan 48911-4275
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. John M Dysart
- 100 Michigan St Ne Mc 845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Dr. John M Dysart
- 3960 Patient Care Dr Suite 113
- Lansing, MI
- Zip : 48911-4275
- Fax : (517) 484-7241
- Phone : (517) 484-0004
Reviews
FAQs
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Is Dr. John M Dysart a sole practitioner?
Is Dr. John M Dysart accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | JD063672 | MI |
National Provider Identifier
| NPI | 1265425177 |
|---|---|
| Provider Name | Dr. John M Dysart |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Lansing, MI 48911-4275 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2005 |
| Last Update Date | 05/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 85305 | BLUE CARE NETWORK (01) | MI |
| F10141 | (02) | MI |
| L3338287 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.