Healthcare Provider Details

I. General information

NPI: 1679745459
Provider Name (Legal Business Name): FRIEDRICH C BIELING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

548 S MARINE CORPS. DR. FHP MEDICAL CENTER
TAMUNING GU
96913
US

IV. Provider business mailing address

P.O. BOX 6578
TAMUNING GU
96913
US

V. Phone/Fax

Practice location:
  • Phone: 671-646-5824
  • Fax: 671-647-3556
Mailing address:
  • Phone: 671-646-6956
  • Fax: 671-547-3556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM-1529
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: