Individual
DR. BERND KLAUS BISMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15105 LEMOYNE BLVD, BILOXI, MS 39532-5201
(228) 392-8616
(228) 392-1278
Mailing address
PO BOX 6567, DIBERVILLE, MS 39540-6567
(228) 861-3645
(228) 392-1278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
728
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115421
—
MS
Enumeration date
09/27/2006
Last updated
07/09/2007
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