DR. DUDLEY EUGENE WILEY M.D. NPI 1447217260

NPI Information

NPI: 1447217260
Provider Name: DR. DUDLEY EUGENE WILEY, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
6968 PINES LN SE
CALEDONIA, MI
ZIP 49316
Phone: (616) 891-9601
Get Directions

DR. Dudley Eugene Wiley, M.D. is a neurology psychiatry neurology in Caledonia, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Dudley Eugene Wiley, M.D. NPI is 1447217260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6968 PINES LN SE
CALEDONIA, MI
ZIP 49316-095
Phone: (616) 891-9601

The enumeration date for this NPI number is 4/26/2006 and was last updated on 4/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	4301035095	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	130D113740	OTHER	MICHIGAN	BCBS OF MI GROUP NUMBER
2	1447217260	MEDICAID	MICHIGAN
3	N91950002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE GRP & INDIVIDUAL
4	350D176500	OTHER	MICHIGAN	BCBS GROUP
5	1220582	MEDICAID	MICHIGAN
6	0P34190010	MEDICARE PIN	MICHIGAN
7	DW035095	OTHER	MICHIGAN	BCBS MI STATE LIC NUMBER
8	A76032	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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