Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301077425 | MI |
N | 111NI0900X | Internist | 4301077425 | MI |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301077425 | MI |
Y | 207U00000X | Nuclear Medicine Specialist | 4301077425 | MI |
NPI | 1174616098 |
---|---|
Provider Name | Anca Mihaela Avram |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 07/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4757153 | (05) | MI |
I37780 | (02) | MI |