Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 01060798A | IN |
Y | 207RI0200X | Infectious Disease | 43011002566 | MI |
N | 2080P0208X | Pediatric Infectious Diseases | 01060798 | IN |
NPI | 1659547925 |
---|---|
Provider Name | Danielle A. Osterholzer |
First Address | Grosse Pointe Woods, MI 48236-2893 |
Second Address | Grosse Pointe Woods, MI 48236-2893 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 09/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1659547925 | (05) | MI |