Organization
BIG BEAR LAKE MEDICAL GROUP INC
Active
Organization
BIG BEAR LAKE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NORMAN DO (PHYSICIAN)
(909) 866-6567
Entity
Organization
Contact information
Practice address
41930 GARSTIN DR, BIG BEAR LAKE, CA 92315
(909) 866-6567
(909) 866-7030
Mailing address
41930 GARSTIN DR PO BOX 2915, BIG BEAR LAKE, CA 92315
(909) 866-6567
(909) 866-7030
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20A6319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX63190
—
CA
Enumeration date
06/16/2008
Last updated
09/09/2008
Update your record
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