Individual
GARY BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2332 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1955
(616) 391-6220
Mailing address
100 MICHIGAN ST NE, MC 109 ATTN JULIE LARSON, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301034246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104107102
BCBS
MI
01
—
1598712390
GROUP NPI
MI
05
—
4770843
—
MI
05
—
4770997
—
MI
05
—
4771143
—
MI
05
—
4773783
—
MI
05
—
4774056
—
MI
Enumeration date
05/03/2006
Last updated
04/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us