Individual
MR. MICHAEL E BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, L
Contact information
Practice address
586 E MIDDLE TPKE, MANCHESTER, CT 06040-3730
(860) 645-3810
Mailing address
586 E MIDDLE TPKE, MANCHESTER, CT 06040-3730
(860) 645-3810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000343
CT
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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