Individual
DR. MICHAEL ROBERT BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1018 DUFF AVE, AMES, IA 50010-5740
(515) 663-8621
(515) 663-8620
Mailing address
1018 DUFF AVE, AMES, IA 50010-5740
(515) 663-8621
(515) 663-8620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26665
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052456
—
IA
Enumeration date
09/30/2005
Last updated
11/10/2020
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