Individual
MICHAEL R. BIBIGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 MASSACHUSETTS AVE, TROY, NY 12180-1628
(518) 268-5338
Mailing address
PO BOX 10730, WESTMINSTER, CA 92685-0730
(562) 809-3548
(562) 468-0726
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
231414-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02552954
—
NY
Enumeration date
06/19/2006
Last updated
06/11/2008
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