Basic Information
| Provider Information | |||||||||
| NPI: | 1760828263 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BYE | ||||||||
| FirstName: | BRIAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1821 S WEBSTER AVE | ||||||||
| Address2: | |||||||||
| City: | GREEN BAY | ||||||||
| State: | WI | ||||||||
| PostalCode: | 543012253 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9204964700 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1540 E HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7349364780 | ||||||||
| FaxNumber: | 7346158568 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/12/2013 | ||||||||
| LastUpdateDate: | 08/16/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 4301114402 | MI | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 9408096 | KS | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.