Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 14165 | ND |
NPI | 1235421553 |
---|---|
Provider Name | Coridon Michael Huez |
First Address | Bismarck, ND 58501-4417 |
Second Address | Bismarck, ND 58501-4417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2011 |
Last Update Date | 21/08/2017 |