Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MR026378 | MI |
NPI | 1023002185 |
---|---|
Provider Name | Dr. Michael E Rollins |
First Address | Grosse Pointe, MI 48230 |
Second Address | Grosse Pointe, MI 48230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B43251 | (02) |