Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101015724 | MI |
Y | 208000000X | Pediatrician | 5101015724 | MI |
NPI | 1154351542 |
---|---|
Provider Name | Dr. Christopher Adam Pohlod |
First Address | East Lansing, MI 48824-7015 |
Second Address | East Lansing, MI 48823-6804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 07/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1154351542 | (05) | MI |