Dr. Michael Allan Bidus, M.D.
Obstetrics & Gynecology, Gynecologic Oncology in Gig Harbor, WA. Individual provider (NPI-1).
NPI number1235192584
StatusActive
Last updated in NPPESMay 22, 2018
Details
- NPI
- 1235192584
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Allan Bidus
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2006
- Last updated
- May 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | MD60391889 | WA | Yes |
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | MD060320L | PA |
Practice location
11511 Canterwood Blvd Nw Ste 100Gig Harbor, WA 98332
Phone 253-382-8150 · Fax 253-382-8155
Mailing address
8166 Mississippi RdLaurel, MD 20724-6123
Phone 240-418-2979
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