Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 4301039931 | MI |
NPI | 1003834847 |
---|---|
Provider Name | Dr. Siegfried Schweighofer JR. |
First Address | Clinton Twp, MI 48038-6330 |
Second Address | Clinton Twp, MI 48038-6330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3291774 | (05) | MI |
A77048 | (02) | MI |