Basic Information
| Provider Information | |||||||||
| NPI: | 1851772388 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | BLEIBEL | ||||||||
| FirstName: | AMER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1630 WESTVIEW AVE | ||||||||
| Address2: | APT C | ||||||||
| City: | SALEM | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4147911726 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4000 WELLNESS DR | ||||||||
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| City: | MIDLAND | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486702000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9898391644 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2015 | ||||||||
| LastUpdateDate: | 02/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 5101023727 | MI | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 5101023727 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.