Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301054903 | MI |
N | 111NI0900X | Internist | 4301054903 | MI |
Y | 207RH0002X | Hospice and Palliative Medicine | 4301054903 | MI |
NPI | 1174692420 |
---|---|
Provider Name | Dr. Alice M Emery |
First Address | Holland, MI 49423-3719 |
Second Address | Holland, MI 49423-3719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 31/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102833971 | (05) | MI |
F27389 | (02) | MI |