Individual
DR. KARL OYVIND BANDLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39763 W HURON RIVER DR, ROMULUS, MI 48174-4807
(734) 467-8565
(734) 467-8548
Mailing address
33000 PALMER RD, WESTLAND, MI 48186-5517
(734) 467-8565
(734) 467-8548
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301046832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820397
BC/BS OF MICHIGAN
MI
05
—
4754287
—
MI
Enumeration date
08/22/2006
Last updated
03/31/2017
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