Randy L Bisping Dds Ms Pc

NPI 1174892772 - Dentist - 1223S0112X

NPI Details
NPI 1174892772
Enumeration Date 12/28/2011
Last Updated 03/13/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RANDY LEE RANDY
Position ORAL SURGEON
Phone (231) 739-1215
Fax (231) 737-2347
Practice Location
3579 HENRY ST
SUITE 140
NORTON SHORES MI, 49441-6720, US
Phone (231) 739-1215
Fax (231) 737-2347
Business Location
3579 HENRY ST
SUITE 140
NORTON SHORES MI, 49441-6720, US
Phone (231) 739-1215
Fax (231) 737-2347
Toxanomy
Taxonomy Code 1223S0112X
License State Michigan
License Number 2901014916
Remove 1174892772 NPI Number
 

According to our database, Randy L Bisping Dds Ms Pc NPI is 1174892772, taxonomy code is 1223S0112X and license number is 2901014916, license state is located at Michigan. Randy L Bisping Dds Ms Pc physically located at 3579 Henry St, Norton Shores MI, 49441-6720. NPI Number 1033115704 has the healthcare provider type.

1174892772 NPI number is provided on an as is basis without warranty of any kind. 1174892772 is maintained by the National Plan & Provider Enumeration System. The contents of Randy L Bisping Dds Ms Pc are for informational purposes only.