Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 4301081505 | MI |
Y | 207VX0201X | Gynecologic Oncologist | 4301081505 | MI |
NPI | 1508061813 |
---|---|
Provider Name | Dr. Leigh Ann Solomon |
First Address | Troy, MI 48083-1138 |
Second Address | Detroit, MI 48201-2013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 22/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4585774 | (05) | MI |
H93630 | (02) | MI |