Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 3286 | OH |
N | 222Z00000X | Podiatrist | 3286 | OH |
Y | 213E00000X | Podiatrist | 5901002383 | MI |
Y | 222Z00000X | Podiatrist | 5901002383 | MI |
N | 213EP1101X | Primary Podiatric Medicine | 574 | SC |
N | 213ES0103X | Foot & Ankle Surgery | 5901002383 | MI |
NPI | 1396764098 |
---|---|
Provider Name | Dr. Michael Munson |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48105-9484 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 13/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
AA4953 | (02) | SC |