John Duwayne Deyo | Wyoming, MI • PECOS Search

John Duwayne Deyo

Chiropractor

Chiropractic Providers

1027 Gezon Pkwy SW, Wyoming, MI 49509-9542

PECOS Enrollment

Based on the most recent information from CMS, provider John Duwayne Deyo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1013427335
Provider Type
Individual
Full Name
Deyo, John Duwayne
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
10/2/2017
Last Updated
10/2/2017

Contact Information

Practice Location

1027 Gezon Pkwy SW, Wyoming, MI 49509-9542

Unlisted Fax

Mailing Location

1027 Gezon Pkwy SW, Wyoming, MI 49509-9542

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 2301010540 Michigan