Basic Information
Provider Information
NPI: 1144543232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BIGLER
FirstName: CINDY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 MICHIGAN ST NE # MC845
Address2:  
City: GRAND RAPIDS
State: MI
PostalCode: 495032560
CountryCode: US
TelephoneNumber: 6164866790
FaxNumber:  
Practice Location
Address1: 1009 W GREEN ST
Address2: SUITE G001
City: HASTINGS
State: MI
PostalCode: 490581710
CountryCode: US
TelephoneNumber: 2699487820
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/04/2010
LastUpdateDate: 03/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XMI4704181864MIY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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