Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 4301101987 | MI |
Y | 2086S0129X | Vascular Surgeon | 47345 | TN |
NPI | 1124284427 |
---|---|
Provider Name | Daniel Mark Alterman |
First Address | Muskegon, MI 49444-1835 |
Second Address | Germantown, TN 38138-2208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 30/08/2021 |