Basic Information
| Provider Information | |||||||||
| NPI: | 1619276979 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BIHLMAIER | ||||||||
| FirstName: | MATTHEW | ||||||||
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| Credential: | D.O./M.B.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 404 MAINE ST | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660441361 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855055635 | ||||||||
| FaxNumber: | 7855055306 | ||||||||
| Practice Location | |||||||||
| Address1: | 404 MAINE ST | ||||||||
| Address2: | |||||||||
| City: | LAWRENCE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 66044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7855055635 | ||||||||
| FaxNumber: | 7855055306 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2011 | ||||||||
| LastUpdateDate: | 11/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 05-38177 | KS | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.