Organization
BIENVILLE MEDICAL CLINIC, PLLC
Active
Other names
William L. Striegel, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L STRIEGEL MD (OWNER/PRESIDENT - SOLE PROPRIETOR)
(228) 266-2208
Entity
Organization
Contact information
Practice address
11 DOCTORS DR, OCEAN SPRINGS, MS 39564-5709
(228) 266-2208
(228) 875-1335
Mailing address
11 DOCTORS DR, OCEAN SPRINGS, MS 39564-5709
(228) 266-2208
(228) 875-1335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10164
MS
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012035
—
MS
05
—
07136551
—
MS
01
—
10164
MEDICAL LICENSE
MS
01
—
1205947843
TYPE 1-INDIVIDUAL NPI
MS
01
—
1639437411
BILLING NPI
ME
01
—
25D0319779
CLIA NUMBER
MS
Enumeration date
04/30/2012
Last updated
07/26/2022
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