Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 4301076584 | MI |
N | 207R00000X | Internist | 4301076584 | MI |
N | 111NI0900X | Internist | 4301076584 | MI |
Y | 207RA0201X | Internist - Allergy & Immunology | 4301076584 | MI |
NPI | 1043257751 |
---|---|
Provider Name | Alan P Baptist |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48105-9484 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 23/02/2012 |