Provider Demographics
NPI:1518188150
Name:BIEHL, WILLIAM C III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:BIEHL
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:WOODLAND MEDICAL PAVILION
Mailing Address - Street 2:8865 WEST 400 NORTH, SUITE 101
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-9222
Mailing Address - Country:US
Mailing Address - Phone:219-872-2466
Mailing Address - Fax:219-872-2467
Practice Address - Street 1:WOODLAND MEDICAL PAVILION
Practice Address - Street 2:8865 WEST 400 NORTH, SUITE 101
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-9222
Practice Address - Country:US
Practice Address - Phone:219-872-2466
Practice Address - Fax:219-872-2467
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2011-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01040209A207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100165350Medicaid
INE86193Medicare UPIN
IN5936920001Medicare NSC
IN100165350Medicaid