Organization
BIG RAPIDS UROLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRINDER K BHARDWAJ MD (OWNER PRESIDENT)
(231) 796-4700
Entity
Organization
Contact information
Practice address
123 S WARREN, BIG RAPIDS, MI 49307
(231) 796-4700
(231) 796-3577
Mailing address
123 S WARREN, BIG RAPIDS, MI 49307
(231) 796-4700
(231) 796-3577
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301044214
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3405400531
BCBS
MI
05
—
4355774
—
MI
Enumeration date
11/09/2006
Last updated
06/20/2008
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