Individual
JAMES D BIEDERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010397
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619912714
NPI
MI
01
—
1649216144
GROUP NPI
MI
01
—
5501010397
STATE OF MICHIGAN
MI
01
—
650G012500
BCBS
MI
Enumeration date
06/20/2006
Last updated
05/27/2021
Update your record
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