Individual
MICHAEL D HIBBARD
Active
Individual
MICHAEL D HIBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3566
SD
207RI0011X
Interventional Cardiology Physician
3566
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003875
SD BCBS
SD
05
—
052307100
—
MN
01
—
165026
UCARE
—
01
—
24678
HEALTH PARTNERS
—
05
—
2997700
—
IA
01
—
3566
DAKOTACARE
SD
01
—
538R9HI
MN BCBS - PLAN 538R2NO
MN
01
—
53990
IA BCBS
IA
05
—
6002593
—
SD
01
—
7D930HI
MN BCBS - PLAN 91057NO
MN
01
—
931451029034
PREFERRED ONE
—
Enumeration date
05/04/2006
Last updated
08/18/2021
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