Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 4301116613 | MI |
N | 207YP0228X | Pediatric Otolaryngology | 56451 | CT |
N | 207YP0228X | Pediatric Otolaryngology | MD431373 | PA |
NPI | 1528258787 |
---|---|
Provider Name | Dr. Cecilia Canto Helwig |
First Address | Detroit, MI 48201-2119 |
Second Address | Detroit, MI 48201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 10/04/2019 |