Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 2901010925 | MI |
Y | 213EG0000X | General Practice | 2901010925 | MI |
NPI | 1003894049 |
---|---|
Provider Name | Dr. Alan Robert Tokar |
First Address | Newberry, MI 49868-1153 |
Second Address | Newberry, MI 49868-1153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4036496 | (05) | MI |