Individual
DR. JAMES TEGART BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
388 GARDEN AVE, STE 100, HOLLAND, MI 49424-7186
(616) 393-0567
(616) 393-0562
Mailing address
388 GARDEN AVE, STE 100, HOLLAND, MI 49424-8998
(616) 393-0567
(616) 393-0562
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
4301033824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407054001
BCBS
MI
05
—
2779821
—
MI
Enumeration date
05/24/2005
Last updated
10/15/2012
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