Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 207X00000X | MI |
Y | 207X00000X | Orthopaedic Surgeon | 4301063445 | MI |
NPI | 1881645042 |
---|---|
Provider Name | Kent Richard Biddinger |
First Address | Midland, MI 48640-4701 |
Second Address | Midland, MI 48640-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 12/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3061270 | (05) | MI |
F68686 | (02) | MI |