Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 54743 | MN |
N | 207Q00000X | Family Doctor | MD455768 | PA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD455768 | PA |
NPI | 1043537038 |
---|---|
Provider Name | Dr. Michael Brooks Pipestone |
First Address | Bethlehem, PA 18015-1000 |
Second Address | Bethlehem, PA 18015-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 04/10/2017 |