Organization
JOSEPH M HIBLER OD PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M. HIBLER O.D. (OWNER)
(269) 781-6644
Entity
Organization
Contact information
Practice address
15865 W MICHIGAN AVE, MARSHALL, MI 49068-9578
(269) 781-6644
(269) 781-0130
Mailing address
15865 W MICHIGAN AVE, MARSHALL, MI 49068
(269) 781-6644
(269) 781-0130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002965
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813656
—
MI
01
—
900A36510
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/19/2008
Last updated
02/19/2009
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