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Individual

DR. MICHAEL A. BIDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
461 OLDS ST, JONESVILLE, MI 49250-9433
(517) 849-9277
(517) 849-2134
Mailing address
461 OLDS ST, P.O. BOX 129, JONESVILLE, MI 49250-9433
(517) 849-9277
(517) 849-2134

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002298
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0563630001
DME MEDICARE
MI
01
2220036
PHP
MI
05
2844410
MI
01
35212
HEALTH PLAN OF MICHIGAN
MI
01
580002619
RAILROAD MEDICARE
MI
01
900C010240
BCBS
MI
Enumeration date
03/08/2007
Last updated
04/24/2008
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