Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 4301028863 | MI |
NPI | 1760550404 |
---|---|
Provider Name | Andrew J. Hankins |
First Address | Sterling Heights, MI 48313 |
Second Address | Sterling Heights, MI 48313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AH028863 | CHAMPUS-CHAMPUS (01) | |
AH028863 | COMMERCIAL-COMMERCIAL NUMBER (01) | |
B48952 | (02) |