Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301087100 | MI |
N | 111NI0900X | Internist | 4301087100 | MI |
N | 207RH0000X | Hematologist | 4301087100 | MI |
Y | 207RX0202X | Medical Oncology | 4301087100 | MI |
NPI | 1225109242 |
---|---|
Provider Name | Catherine Hall Vanpoznak |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 04/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4836159 | (05) | MI |
H46569 | (02) | MI |