Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 5101012657 | MI |
NPI | 1477658458 |
---|---|
Provider Name | Dr. Thomas R Perkins |
First Address | Rochester Hills, MI 48307-3152 |
Second Address | Rochester Hills, MI 48307-3152 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 28/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H16462 | (02) | MI |