Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 4301102488 | MI |
NPI | 1255645560 |
---|---|
Provider Name | Dr. Gwendolen Nicole Sinclair |
First Address | Saginaw, MI 48602-4727 |
Second Address | Saginaw, MI 48602-4727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2010 |
Last Update Date | 26/03/2021 |