Doctor Name: | DR. THEODORE N BATZER |
NPI Number: | 1336131606 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 207R00000X |
Business Practice Address: | 1391 E Parkdale Ave Ste 102 Manistee, MI - 496609352 |
Business Phone Number: | 2313981800 |
Business Fax Number: | 2313981802 |
Mailing Address: | 1391 E Parkdale Ave, Ste 102 MANISTEE |
State: | MI |
Postal Code: | 496609352 |
Phone Number: | 2313981800 |
Fax Number: | 2313981802 |
NPI Enumeration Date: | 08/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 207R00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |