Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 4301036651 | MI |
NPI | 1033190947 |
---|---|
Provider Name | Dr. William A Briggs |
First Address | Berkley, MI 48072-2182 |
Second Address | Berkley, MI 48072-2182 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2005 |
Last Update Date | 14/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B97921 | (02) |