Individual
DR. JAMES BISHOP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
35650 GRAND RIVER AVE, #306B, FARMINGTON, MI 48335-3128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301070170
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301070170
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104304926
—
MI
05
—
104341410
—
MI
05
—
104341429
—
MI
01
—
JB070170
BC/BS OF MICHIGAN
MI
Enumeration date
06/09/2006
Last updated
10/02/2024
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