Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 0101253843 | VA |
NPI | 1013151836 |
---|---|
Provider Name | Dr. Michael Healy Ward |
First Address | Durham, NC 27705-3875 |
Second Address | Durham, NC 27705-3875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2009 |
Last Update Date | 28/07/2015 |