Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 4704292372 | MI |
NPI | 1003024332 |
---|---|
Provider Name | Dr. Krassimir Lalev Denchev |
First Address | Ann Arbor, MI 48105-9750 |
Second Address | Pontiac, MI 48341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 28/06/2019 |