Individual
DR. MICHAEL B IBACH
Active
Individual
DR. MICHAEL B IBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
26687
TN
207RG0100X
Gastroenterology Physician
Primary
ME67895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003230300
—
FL
01
—
14AW4
BCBS
FL
Enumeration date
05/15/2006
Last updated
05/24/2011
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