Individual
DR. PETER BISTOLARIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 839-1795
(989) 839-1785
Mailing address
4201 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 839-1795
(989) 839-1785
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301064856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020G361410
BCBSM GROUP PIN
MI
01
—
0993608
HEALTHPLUS OF MICHIGAN
—
05
—
104905069
—
MI
01
—
156543
GREAT LAKES HEALTH PLAN
—
01
—
P00348487
RAILROAD MEDICARE
—
01
—
PB064856
STATE LICENSE
MI
Enumeration date
11/18/2005
Last updated
11/03/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us