Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 4301086142 | MI |
NPI | 1629300165 |
---|---|
Provider Name | Dr. Sinan Atmaca |
First Address | Detroit, MI 48201-2119 |
Second Address | Southfield, MI 48034-1105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2010 |
Last Update Date | 09/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
38-3490114 | TAX ID (01) | MI |