Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 4301047025 | MI |
NPI | 1134377450 |
---|---|
Provider Name | Dr. Nemer Ebeid Hanna |
First Address | West Bloomfield, MI 48322-2927 |
Second Address | West Bloomfield, MI 48322-2927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2008 |
Last Update Date | 28/08/2008 |