Peter Bistolarides in Midland - Surgery

Peter Bistolarides - NPI 1407838048

Peter Bistolarides is a Surgery in Midland, Michigan. Peter Bistolarides practices all healthcare services and medical treatments related to Surgery. The NPI Number for Peter Bistolarides is 1407838048. The last update date is 2016-11-03.

Peter Bistolarides's current location address is 4201 Campus Ridge Drive, Midland, Michigan. You can contact this provider via phone number 9898391795 and fax number 9898391785. The mailing address for Peter Bistolarides is 4201 Campus Ridge Drive, Midland, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Bistolarides
Address 4201 Campus Ridge Drive, Midland, Michigan
Phone Number 9898391795
Fax Number 9898391785
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407838048
Provider Enumeration Date 2005-11-18
Last Updated Date 2016-11-03

Provider Mailing Address Detail

Address 4201 Campus Ridge Drive
City Midland
State Michigan (MI)
Post Code 48640
Phone Number 9898391795
Fax Number 9898391785

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 4301064856
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
020G361410 MI BCBSM GROUP PIN
156543 GREAT LAKES HEALTH PLAN
P00348487 RAILROAD MEDICARE
104905069 MI --
993608 HEALTHPLUS OF MICHIGAN
PB064856 MI STATE LICENSE

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FAQs about Peter Bistolarides

What is the unique provider identifier assigned to Peter Bistolarides?

The Peter Bistolarides has been issued the NPI (National Provider Identifier) 1407838048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Peter Bistolarides is physically located?

The Peter Bistolarides is situated at the following address: 4201 Campus Ridge Drive, Midland, MI 48640.

What is the Peter Bistolarides's area of specialization and corresponding taxonomy classification?

The Peter Bistolarides's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407838048 to Peter Bistolarides?

The Centers for Medicare & Medicaid Services originally issued the 1407838048 to Peter Bistolarides on 2005-11-18.

As of what date was the information pertaining to Peter Bistolarides, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peter Bistolarides, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-11-03.

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