DR. Michael Edward Bisgrove, M.D.

NPI #1104856046 in Brookings, Oregon

Provider Information

NPI Number: 1104856046
Entity Type: Individual
Name: DR. Michael Edward Bisgrove, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 4, 2006
Last Updated: Jan 4, 2011

Practice Location

Address: 555 5TH ST
Address 2: SUITE #1
City: Brookings
State: Oregon
ZIP Code: 97415-9730
Phone: (541) 412-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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