Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 5101007496 | MI |
NPI | 1043298466 |
---|---|
Provider Name | David M Magyar |
First Address | Detroit, MI 48267-3739 |
Second Address | Dearborn, MI 48124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 20/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
109302 | PREF CHOICE/CARE CHOICE (01) | MI |
4194464 | (05) | MI |
4363765 | AETNA (01) | MI |
B45207 | UPIN (01) | MI |
DM007496 | LICENSE (01) | MI |
E49380 | (02) |