Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 510417353 | MI |
NPI | 1033180161 |
---|---|
Provider Name | Dr. Salvatore John Finazzo |
First Address | Trenton, MI 48183 |
Second Address | Trenton, MI 48183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 06/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4469720 | (05) | MI |
E23658 | (02) | MI |