Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | D0032207 | MD |
NPI | 1013947944 |
---|---|
Provider Name | Dr. Steven H Parker |
First Address | Jackson, MI 49201-2218 |
Second Address | Annapolis, MD 21401-1514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 14/11/2007 |