Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 4301060317 | MI |
NPI | 1376795252 |
---|---|
Provider Name | Dr. Rickie Vance Hay |
First Address | Ada, MI 49301-9604 |
Second Address | Ada, MI 49301-9604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 22/10/2008 |