Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 4301104290 | MI |
NPI | 1225096191 |
---|---|
Provider Name | Dr. Boyce Keith English |
First Address | East Lansing, MI 48824-7015 |
Second Address | Lansing, MI 48912-5353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 07/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1225096191 | (05) | MI |
3050219 | (05) | TN |
E30811 | (02) |