Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 5901002385 | MI |
NPI | 1073810560 |
---|---|
Provider Name | Kathleen J Bickle |
First Address | Sturgis, MI 49091-0730 |
Second Address | Sturgis, MI 49091-1947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2011 |
Last Update Date | 29/04/2013 |