Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 5101020246 | MI |
NPI | 1013257252 |
---|---|
Provider Name | Dr. Steven Denhof |
First Address | Clinton Township, MI 48038-3504 |
Second Address | Clinton Township, MI 48038-3504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2013 |
Last Update Date | 07/05/2013 |