Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301078943 | MI |
N | 208600000X | Surgeon | 4301078943 | MI |
N | 2086S0102X | Surgical Critical Care | 4301078943 | MI |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 4301078943 | MI |
NPI | 1346350402 |
---|---|
Provider Name | Dr. Matthew Augustin Romano |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 14/01/2020 |