Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 5101022522 | MI |
NPI | 1386094761 |
---|---|
Provider Name | Dr. Anthony Lynn Howard |
First Address | Madison Heights, MI 48071-3487 |
Second Address | Madison Heights, MI 48071-3487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2016 |
Last Update Date | 30/06/2016 |