Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 9900842 | NC |
Y | 208000000X | Pediatrician | 4301095473 | MI |
N | 2080P0210X | Pediatric Nephrologist | 4301095473 | MI |
NPI | 1316010093 |
---|---|
Provider Name | Dr. Debbie Sue Gipson |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 19/06/2013 |