Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35-04-8731 | OH |
Y | 208600000X | Surgeon | 35-04-8731 | OH |
NPI | 1003877168 |
---|---|
Provider Name | Dr. Michael George Parker |
First Address | Akron, OH 44320-4218 |
Second Address | Akron, OH 44320-4218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0608346 | (05) | OH |
A16311 | (02) | OH |