Individual
MIRANDA BICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 837-9750
(231) 834-0200
Mailing address
1615 MICHIGAN AVE, BALDWIN, MI 49304-7984
(231) 745-5045
(231) 745-5031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021275
MI
Other
Enumeration date
06/16/2014
Last updated
04/12/2023
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