Healthcare Provider Details

I. General information

NPI: 1326069931
Provider Name (Legal Business Name): RICHARD D BATES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 S MOUNT TOM RD
MIO MI
48647-9518
US

IV. Provider business mailing address

PO BOX 427
HILLMAN MI
49746-0427
US

V. Phone/Fax

Practice location:
  • Phone: 989-353-2197
  • Fax: 989-318-4606
Mailing address:
  • Phone: 989-354-2197
  • Fax: 989-318-4606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberRB053421
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: