Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 2901022050 | MI |
NPI | 1073997441 |
---|---|
Provider Name | Dr. Rami Essak |
First Address | Farmington Hills, MI 48335-3155 |
Second Address | Farmington Hills, MI 48335-3155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2015 |
Last Update Date | 23/08/2017 |