Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 4301036408 | MI |
NPI | 1437145901 |
---|---|
Provider Name | Dr. Steven A Migdal |
First Address | West Bloomfield, MI 48322-3405 |
Second Address | West Bloomfield, MI 48322-3405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 04/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1318623 | (05) | MI |
B47639 | (02) |