Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A149738 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 2016008225 | MO |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A149738 | CA |
NPI | 1114214970 |
---|---|
Provider Name | Dr. Michael David Hellman |
First Address | Larkspur, CA 94939-1123 |
Second Address | Larkspur, CA 94939 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2011 |
Last Update Date | 22/10/2018 |