Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 01040209A | IN |
NPI | 1518188150 |
---|---|
Provider Name | William C Biehl III |
First Address | Michigan City, IN 46360-9222 |
Second Address | Michigan City, IN 46360-9222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 10/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100165350 | (05) | IN |
E86193 | (02) | IN |