Provider Demographics
NPI:1588764823
Name:PFLAUM, BYRON C II (DO)
Entity type:Individual
Prefix:
First Name:BYRON
Middle Name:C
Last Name:PFLAUM
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2070 BIDDLE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-4080
Mailing Address - Country:US
Mailing Address - Phone:734-225-9100
Mailing Address - Fax:734-225-9100
Practice Address - Street 1:2070 BIDDLE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-4080
Practice Address - Country:US
Practice Address - Phone:734-225-9100
Practice Address - Fax:734-225-9100
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101007351207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI5976012Medicare PIN
MID72727Medicare UPIN