DR. Richard Ethan Bivin, M.D.

NPI #1386641033 in Lincoln, Illinois

Provider Information

NPI Number
1386641033
Entity Type
Individual
Name
DR. Richard Ethan Bivin, M.D.
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Jul 7, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
515 N COLLEGE ST
ZIP Code
62656-1401
Phone
(217) 732-9681

Specialties & Taxonomy Codes

Specialty
Family Medicine

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