Evan Bischoff, DO
Family Medicine in Grand Blanc, MI. Individual provider (NPI-1).
NPI number1245079151
StatusActive
Last updated in NPPESMay 21, 2024
Details
- NPI
- 1245079151
- Entity type
- Individual (NPI-1)
- Name
- Evan Bischoff
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2024
- Certification date
- May 15, 2024
- Last updated
- May 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5151016902 | MI | Yes |
Practice location
1 Genesys PkwyAscension Genesys Hosp
Grand Blanc, MI 48439-1477
Phone 810-606-5636
Mailing address
1 Genesys PkwyAscension Genesys Hosp
Grand Blanc, MI 48439-1477
Phone 810-606-5636
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