Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 5101006062 | MI |
N | 207XS0106X | Orthopaedic Hand Surgeon | 5101006062 | MI |
NPI | 1184651374 |
---|---|
Provider Name | Dr. Peter B Ajluni |
First Address | Clinton Township, MI 48036-2319 |
Second Address | Clinton Township, MI 48036-2319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1418001 | (05) | MI |
E26469 | (02) | MI |