Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 5101012329 | MI |
NPI | 1023009453 |
---|---|
Provider Name | Brian S Hood |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Fremont, MI 49412-1597 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 17/02/2021 |