Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 252588 | NY |
Y | 207T00000X | Neurosurgeon | 5101017274 | MI |
N | 207T00000X | Neurosurgeon | MD2458 | TN |
N | 207T00000X | Neurosurgeon | NOTAVAILABLE | MI |
NPI | 1093938482 |
---|---|
Provider Name | Dr. Clifford Michael Houseman |
First Address | Southfield, MI 48075-6214 |
Second Address | Southfield, MI 48075-6214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 25/06/2014 |