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Michael Birdsall

NPI 1629707880 · on the registry since 2022 · sole proprietor

Practice

Address
549 Fair St # Mc61-22
Bloomsburg, PA 17815
Phone
(570) 416-1925
Clinicians at this address
11

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-24
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania