Provider Demographics
NPI:1437443835
Name:RODGERS-BIEBUYCK, EMMA ELIZABETH (DO)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:ELIZABETH
Last Name:RODGERS-BIEBUYCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:560 W MITCHELL ST
Mailing Address - Street 2:STE. 210
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2275
Mailing Address - Country:US
Mailing Address - Phone:231-487-2340
Mailing Address - Fax:231-487-2115
Practice Address - Street 1:560 W MITCHELL ST
Practice Address - Street 2:STE. 210
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2275
Practice Address - Country:US
Practice Address - Phone:231-487-2340
Practice Address - Fax:231-487-2115
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2015-08-07
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Provider Licenses
StateLicense IDTaxonomies
MI5101019356207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology