Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2901018885 1602343 | MI |
NPI | 1003993973 |
---|---|
Provider Name | Calvin C Hsieh |
First Address | Clinton Twp., MI 48305 |
Second Address | Clinton Twp., MI 48305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 30/08/2011 |