Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 4301035339 | MI |
NPI | 1013963180 |
---|---|
Provider Name | Dr. James Cleveland Maher III |
First Address | Marshall, MI 49068-9609 |
Second Address | Marshall, MI 49068-9609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 05/12/2014 |