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Organization
THEODORE N BATZER MDPC
Active
Organization
THEODORE N BATZER MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE N BATZER MDPC (PRESIDENT)
(231) 398-1800
Entity
Organization
Contact information
Practice address
1391 E PARKDALE AVE, MANISTEE, MI 49660-9352
(231) 398-1800
(231) 398-1800
Mailing address
1391 E PARKDALE AVE, MANISTEE, MI 49660-9352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207R00000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N91930
BCBSM MEDICARE ADVANTAGE
MI
05
—
1099975
—
MI
01
—
110232844
PALMETTO GBA
MI
01
—
1105101831
BCBSM
MI
Enumeration date
06/05/2007
Last updated
03/08/2010
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