Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4301088884 | MI |
NPI | 1013127737 |
---|---|
Provider Name | Dr. Sharon Leilani Mcrae |
First Address | Eastpointe, MI 48021-3264 |
Second Address | Eastpointe, MI 48021-3264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 02/04/2014 |