Individual
DR. MICHAEL J BITTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
164 W 13TH ST, GRAFTON, ND 58237-1826
(017) 352-1620
Mailing address
164 W 13TH ST, GRAFTON, ND 58237-1826
(017) 352-1620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01044969A
IN
208600000X
Surgery Physician
22811
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700882
UNITED HEALTHCARE
NE
01
—
242893
MIDLANDS CHOICE
NE
01
—
D03616
BCBS OF NEBRASKA
NE
Enumeration date
10/05/2006
Last updated
10/11/2023
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