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Organization

KALAMAZOO OPHTHALMOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN E HIGGINS M.D. (OWNER)
(269) 329-5860
Entity
Organization

Contact information

Practice address
3412 W CENTRE AVE, PORTAGE, MI 49024-4624
(269) 329-5860
(269) 329-5865
Mailing address
3412 W CENTRE AVE, PORTAGE, MI 49024-4624
(269) 329-5860
(269) 329-5865

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1803901811
STEPHEN HIGGINS
01
1803906051
GREGORY BIBART
01
180C910010
BCN GROUP
01
180C960320
BCBS GROUP
01
1863900012
GREGORY BIBART
05
2669516
MI
05
4073524
MI
05
4415148
MI
01
900C965580
FERRIS STANDIFORD
01
FS003034
FERRIS STANDIFORD
MI
01
GB072121
GREGORY BIBART
MI
01
SH405954
STEPHEN HIGGINS
MI
Enumeration date
07/26/2006
Last updated
02/18/2010
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