| Doctor Name: | DR. HEIDI MARIE BIEDEBACH |
| NPI Number: | 1689907628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | GFE72559 |
| Business Practice Address: | 580 Thrush Drive Big Bear Lake, CA - 923150047 |
| Business Phone Number: | 7609875613 |
| Business Fax Number: | 7602972146 |
| Mailing Address: | Po Box 47, BIG BEAR LAKE |
| State: | CA |
| Postal Code: | 923150047 |
| Phone Number: | 7609875613 |
| Fax Number: | 7602972146 |
| NPI Enumeration Date: | 09/09/2009 |
| NPI Last Update Date: | 09/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | GFE72559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |