Provider Demographics
NPI:1265415228
Name:BAYS, SUSSAN M (MD)
Entity type:Individual
Prefix:DR
First Name:SUSSAN
Middle Name:M
Last Name:BAYS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-583-5060
Mailing Address - Fax:989-583-5046
Practice Address - Street 1:5400 MACKINAW RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9515
Practice Address - Country:US
Practice Address - Phone:989-583-5060
Practice Address - Fax:898-583-5046
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2021-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301056053208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI056053OtherBLUE CROSS
MI4870070Medicaid
MI056053OtherBLUE CROSS
MIF45401Medicare UPIN