Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | A99926 | CA |
Y | 207X00000X | Orthopaedic Surgeon | 4301093248 | MI |
NPI | 1205032679 |
---|---|
Provider Name | Christopher William Uggen |
First Address | Kalamazoo, MI 49009-2175 |
Second Address | Kalamazoo, MI 49009-2175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 08/01/2009 |