Organization
SURGICAL SPECIALISTS OF BOWLING GREEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BIELEFELD MD (PHYSICIAN/PARTNER)
(419) 352-9124
Entity
Organization
Contact information
Practice address
960 W WOOSTER ST, SUITE 202, BOWLING GREEN, OH 43402-2644
(419) 352-9124
(419) 353-7334
Mailing address
960 W WOOSTER ST STE 208, BOWLING GREEN, OH 43402-2650
(419) 352-9124
(419) 353-7334
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35066329B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2860980
—
OH
01
—
DO3187
RR MEDICARE
OH
Enumeration date
07/28/2008
Last updated
10/09/2019
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