Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101017138 | MI |
NPI | 1265697783 |
---|---|
Provider Name | Dr. Seth Charles Palmer |
First Address | Holland, MI 49424 |
Second Address | Holland, MI 49424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2008 |
Last Update Date | 18/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1265697783 | (05) | MI |