Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 1871837 | MI |
NPI | 1861653222 |
---|---|
Provider Name | Dr. John Martin Markley JR. |
First Address | Ann Arbor, MI 48104-1739 |
Second Address | Ann Arbor, MI 48104-1739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2008 |
Last Update Date | 18/06/2008 |