| NPI | 1174892772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY LEE BISPING Oral Surgeon 231-739-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901014916) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2012-03-13 |