Individual
DUSTIN ANTHONY BIVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 373-7488
(269) 373-7478
Mailing address
200 N PARK ST, KALAMAZOO, MI 49007-3731
(269) 373-7488
(269) 373-7478
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5101018758
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101018758
MI
Other
Enumeration date
06/02/2010
Last updated
12/11/2020
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