Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 5287-015 | WI |
NPI | 1033242797 |
---|---|
Provider Name | Dr. William F. Bird |
First Address | Madison, WI 53717-1400 |
Second Address | Madison, WI 53717-1400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |