Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301064834 | MI |
Y | 111NI0900X | Internist | 4301064834 | MI |
N | 207RA0401X | Internist - Addiction Medicine | 4301064834 | MI |
N | 208000000X | Pediatrician | 4301064834 | MI |
NPI | 1184680977 |
---|---|
Provider Name | Dr. John Alexander Hopper |
First Address | Ann Arbor, MI 48106 |
Second Address | Ypsilanti, MI 48197-1014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 25/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F49507 | (02) |