Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 5101024453 | MI |
Y | 2080P0204X | Pediatric Emergency Doctor | 5101024453 | MI |
NPI | 1083078984 |
---|---|
Provider Name | Adam Paul Singer |
First Address | Royal Oak, MI 48067-1678 |
Second Address | Detroit, MI 48201-2119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 21/10/2019 |