Individual
DR. MICHAEL JOHN BIELEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 W WOOSTER ST, SUITE 208, BOWLING GREEN, OH 43402-2644
(419) 352-9124
(419) 353-7334
Mailing address
745 HASKINS RD STE B, BOWLING GREEN, OH 43402-1600
(419) 373-7607
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-06-6329B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0977126
—
OH
01
—
H714600
MEDICARE-OH
OH
01
—
P00670500
RR MEDICARE
OH
Enumeration date
08/26/2005
Last updated
06/15/2022
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