Provider Demographics
NPI:1326017047
Name:BUDAY, JOHN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:BUDAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3588 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:ESSEXVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48732
Mailing Address - Country:US
Mailing Address - Phone:989-893-0444
Mailing Address - Fax:989-893-1099
Practice Address - Street 1:3588 CENTER AVE
Practice Address - Street 2:
Practice Address - City:ESSEXVILLE
Practice Address - State:MI
Practice Address - Zip Code:48732
Practice Address - Country:US
Practice Address - Phone:989-893-0444
Practice Address - Fax:989-893-1099
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010500102084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1300900162OtherBCBS OF MICHIGAN
MI1810936Medicaid
MI1300900162OtherBCBS OF MICHIGAN
MI0090016Medicare ID - Type Unspecified