Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 4301088538 | MI |
NPI | 1003921354 |
---|---|
Provider Name | Jill Elizabeth Bixler |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48105-1912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 15/03/2012 |