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Organization

MICHAEL J BIELEFELD MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J BIELEFELD MD (PHYSICIAN OWNER)
(419) 436-8200
Entity
Organization

Contact information

Practice address
501 VAN BUREN ST, SUITE 202, FOSTORIA, OH 44830-1534
(419) 436-8200
(419) 436-0077
Mailing address
501 VAN BUREN ST, SUITE 202, FOSTORIA, OH 44830-1534
(419) 436-8200
(419) 436-0077

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-06-6329B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0977126
OH
Enumeration date
06/26/2007
Last updated
10/08/2008
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