RICHARD ETHAN BIVIN

LINCOLN, IL
NPI1386641033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036103598)
Enumeration Date2005-07-07
Last Update Date2007-07-08
Business Address
Dr. RICHARD ETHAN BIVIN M.D.
515 N COLLEGE ST
LINCOLN, IL 62656-1401
Phone number: 217-732-9681
Mailing Address
Dr. RICHARD ETHAN BIVIN M.D.
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-757-7491
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