Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5501015791 | MI |
NPI | 1003318254 |
---|---|
Provider Name | Kimberly Biskup |
First Address | Saginaw, MI 48604-2889 |
Second Address | Saginaw, MI 48604-2889 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2018 |
Last Update Date | 05/03/2018 |