Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 11577 | MI |
NPI | 1023067402 |
---|---|
Provider Name | Dr. James V. Karhohs |
First Address | Grand Rapids, MI 49544-8203 |
Second Address | Grand Rapids, MI 49544-8203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/07/2007 |