Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2007016466 | MO |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 5101020211 | MI |
NPI | 1134361033 |
---|---|
Provider Name | Dr. Brian W. Paff |
First Address | Holland, MI 49424-2196 |
Second Address | Holland, MI 49424-2196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2009 |
Last Update Date | 19/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134361033 | (05) | MI |