Organization
RICHARD J HORBAL MD PC
Active
Other names
BAY ALLERGY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J HORBAL M.D. (PRESIDENT)
(989) 895-5007
Entity
Organization
Contact information
Practice address
414 N TUSCOLA RD, BAY CITY, MI 48708-6962
(989) 895-5007
(989) 895-8032
Mailing address
414 N TUSCOLA RD, BAY CITY, MI 48708-6962
(989) 895-5007
(989) 895-8032
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
4301039488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300900191
BCBSM
MI
01
—
030Z91175
BCBSM GROUP PIN
MI
01
—
1100900191
HEALTHPLUS
MI
05
—
1433385 10
—
MI
01
—
DG8718
RR MEDICARE
MI
Enumeration date
11/20/2006
Last updated
07/23/2009
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