Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | RB053548 | MI |
NPI | 1073596037 |
---|---|
Provider Name | Dr. Ronald A Bays |
First Address | Saginaw, MI 48604-2834 |
Second Address | Saginaw, MI 48604-2834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0738353 | BLUE CROSS BLUE SHIELD (01) | MI |
3158841 | (05) | MI |
E19835 | (02) | MI |