Individual
DR. THEODORE N BATZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1391 E PARKDALE AVE, STE 102, MANISTEE, MI 49660-9352
(231) 398-1800
(231) 398-1802
Mailing address
1391 E PARKDALE AVE, STE 102, MANISTEE, MI 49660-9352
(231) 398-1800
(231) 398-1802
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
207R00000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099975
—
MI
01
—
1105101831
BCBSM
MI
Enumeration date
08/22/2005
Last updated
07/08/2007
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