Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 5101019593 | MI |
NPI | 1164706875 |
---|---|
Provider Name | David Schleimer |
First Address | Bloomfield Hills, MI 48302-0241 |
Second Address | Bloomfield Hills, MI 48302-5061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2011 |
Last Update Date | 05/08/2018 |