Provider Demographics
NPI:1679646574
Name:BIEL, MARK STEVEN (RPH)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:STEVEN
Last Name:BIEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 W RENO AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-6250
Mailing Address - Country:US
Mailing Address - Phone:701-223-0936
Mailing Address - Fax:701-224-0007
Practice Address - Street 1:117 N 5TH ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4026
Practice Address - Country:US
Practice Address - Phone:701-223-0936
Practice Address - Fax:701-224-0007
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist