Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME74854 | FL |
NPI | 1164418026 |
---|---|
Provider Name | Chris W Akins |
First Address | Petoskey, MI 49770-2275 |
Second Address | Petoskey, MI 49770-2275 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 25/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4301097688 | STATE OF MICHIGAN (01) | MI |