Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 5101007565 | MI |
NPI | 1003889205 |
---|---|
Provider Name | Dr. Steven Allan Acker |
First Address | Long Beach, CA 90802-4217 |
Second Address | Dearborn, MI 48123-3698 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 18/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1582017 | (05) | MI |
E26715 | (02) | MI |