Healthcare Provider Details
I. General information
NPI: 1770416315
Provider Name (Legal Business Name): MARIAH BIERLEIN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/04/2026
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1522 JANES AVE
SAGINAW MI
48601-1819
US
IV. Provider business mailing address
10605 KING RD
FRANKENMUTH MI
48734-9749
US
V. Phone/Fax
- Phone: 989-907-2709
- Fax: 833-488-3215
- Phone: 989-798-6492
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 4901005975 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: