Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 01066543A | IN |
NPI | 1245278456 |
---|---|
Provider Name | Dr. Michael Verive |
First Address | Hancock, MI 49930-1569 |
Second Address | Hancock, MI 49930-1452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 04/04/2016 |