Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 4301043746 | MI |
N | 207RA0201X | Internist - Allergy & Immunology | 4301043746 | MI |
NPI | 1447236393 |
---|---|
Provider Name | Dr. Michael Jules Hepner |
First Address | Farmington Hills, MI 48331-1386 |
Second Address | Farmington Hills, MI 48331-1386 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 21/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B48049 | (02) |