Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4301078521 | MI |
NPI | 1023000189 |
---|---|
Provider Name | Dr. David Cree |
First Address | Muskegon, MI 49443-1847 |
Second Address | Muskegon, MI 49444-7840 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 16/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I31264 | (02) | MI |