Individual
MR. ADAM CHARLES BIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 FRONT ST, BEAVER DAM, WI 53916-1608
(920) 296-6583
Mailing address
308 FRONT ST, BEAVER DAM, WI 53916
(920) 296-6583
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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