Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301094664 | MI |
Y | 2084N0402X | Child Neurologist | 4301094664 | MI |
N | 2084N0402X | Child Neurologist | 5315041478 | MI |
N | 2084N0600X | Clinical Neurophysiologist | 4301094664 | MO |
NPI | 1295900876 |
---|---|
Provider Name | Dr. Louis T. Dang |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 11/12/2015 |