Individual
MARVIN N BLEIBERG
Active
Individual
MARVIN N BLEIBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301064477
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
4301064477
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174698336
—
MI
05
—
1487796504
—
MI
01
—
DD1273
MEDICARE RAILROAD GROUP
MI
Enumeration date
04/22/2006
Last updated
09/11/2024
Update your record
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