Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301083322 | MI |
N | 111NI0900X | Internist | 4301083322 | MI |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 4301083322 | MI |
N | 207RC0000X | Internist - Cardiovascular Disease | 4301083322 | MI |
NPI | 1013094853 |
---|---|
Provider Name | Dr. Scott Lowell Hummel |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 14/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H99971 | (02) | MI |