Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 2012011168 | MO |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 4301102401 | MI |
NPI | 1629289947 |
---|---|
Provider Name | Dr. Andrew M Compton |
First Address | West Bloomfield, MI 48322-3405 |
Second Address | West Bloomfield, MI 48322-3405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 11/09/2015 |