Organization
RANDY L BISPING DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE BISPING D.D.S.M.S.P.C. (ORAL SURGEON)
(231) 739-1215
Entity
Organization
Contact information
Practice address
3579 HENRY ST, SUITE 140, NORTON SHORES, MI 49441-6720
(231) 739-1215
(231) 737-2347
Mailing address
3579 HENRY ST, SUITE 140, NORTON SHORES, MI 49441-6720
(231) 739-1215
(231) 737-2347
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901014916
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122658890
—
MI
Enumeration date
12/28/2011
Last updated
03/13/2012
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