Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101024407 | MI |
NPI | 1437631140 |
---|---|
Provider Name | Dr. Jared Michael Ham-Ying |
First Address | East Lansing, MI 48823-6804 |
Second Address | East Lansing, MI 48823-6804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2018 |
Last Update Date | 30/08/2018 |