Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 4301031794 | MI |
NPI | 1295826782 |
---|---|
Provider Name | Dr. Homing Yian |
First Address | East Lansing, MI 48823-1437 |
Second Address | East Lansing, MI 48823-1437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 25/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101064361 | (05) | MI |