Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 5101013525 | MI |
N | 2080P0203X | Pediatric Critical Care Doctor | 5101013525 | MI |
NPI | 1184884835 |
---|---|
Provider Name | Dr. Michael H Stargardt |
First Address | Saginaw, MI 48602-4727 |
Second Address | Saginaw, MI 48602-4727 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 16/06/2008 |