Most Relevant Information
Provider Data
| NPI Number: | 1003803313 |
| Provider Name: | MARK W LAY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 236771 |
Most Important Dates
| Enumeration Date: | 10/03/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
117 S BROADWAY ST
CASSOPOLIS
MI
490311242
Practice Location Phone/Fax
| Phone: | 2694450771 |
| Fax: |
Provider Mailing Location
117 S BROADWAY ST
CASSOPOLIS
MI
490311242
Provider Mailing Phone/Fax
| Phone: | 2694450771 |
| Fax: |
Suggested EMR
Family Practice EMR