Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 510101695 | MI |
NPI | 1972727576 |
---|---|
Provider Name | Dr. Noah Aaron Stern |
First Address | West Bloomfield, MI 48322-1337 |
Second Address | Detroit, MI 48201-2020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2007 |
Last Update Date | 03/04/2013 |