Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 4301037578 | MI |
NPI | 1134231681 |
---|---|
Provider Name | Dr. Thomas Edward Lipps |
First Address | Battle Creek, MI 49017-3354 |
Second Address | Battle Creek, MI 49017-3354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |