Provider Demographics
NPI:1134118763
Name:BITNER, JOHN E (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:BITNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:4672 HILL ST
Mailing Address - Street 2:
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-1072
Mailing Address - Country:US
Mailing Address - Phone:989-872-8202
Mailing Address - Fax:989-872-1245
Practice Address - Street 1:4672 HILL ST
Practice Address - Street 2:
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1072
Practice Address - Country:US
Practice Address - Phone:989-872-8202
Practice Address - Fax:989-872-1245
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301061902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110141664OtherMETRAHEALTH
MI1102503372OtherBLUE CROSS BLUE SHIELD
MI3367681Medicaid
MA5555631OtherAETNA
MI110B510530OtherBLUE CROSS BLUE SHIELD
MI253172OtherHEALTH ADVANTAGE NETWORK
MI2661074002OtherCIGNA
MIG50969OtherHEALTH NET FEDERAL
MI110B510530OtherBLUE CARE NETWORK
MI0981438OtherHEALTH PLUS
MIC4849OtherMCARE
MIG50969OtherHEALTH ALLIANCE PLAN
MI253172OtherMCLAREN HEALTH PLAN
MI2661074002OtherCIGNA
MI253172OtherHEALTH ADVANTAGE NETWORK
MI110141664OtherMETRAHEALTH