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Individual

DR. MICHAEL E BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, MPAS, MBA, PA-C

Contact information

Practice address
2471 310TH AVENUE, MAHNOMEN, MN 56557
(218) 935-2238
(218) 935-5085
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6307

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4088
MN
111N00000X
Chiropractor
694
ND
363A00000X
Physician Assistant
Primary
10779
MN
363A00000X
Physician Assistant
1435
MN
363AM0700X
Medical Physician Assistant
PAC0588
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39D57BI
HILLSBORO MN BCBS IND ID
MN
01
529P8BI
NOKKEN BCBSMN IND ID
MN
01
BIS20056
HILLSBORO NDBCBS IND ID
ND
01
BIS26390
NOKKEN BCBSND IND ID
MN
Enumeration date
08/11/2006
Last updated
02/08/2024
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