Individual
DR. MARK JAMES BIELACZYC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 348-2795
(231) 348-2031
Mailing address
602 JACKSON ST, PETOSKEY, MI 49770-2220
(231) 348-2795
(231) 348-2031
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301403857
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830812
—
MI
Enumeration date
09/26/2006
Last updated
09/21/2012
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