Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 2901019495 | MI |
N | 213EG0000X | General Practice | 2901019495 | MI |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2901019495 | MI |
NPI | 1073808663 |
---|---|
Provider Name | Dr. Yuksel Erpardo |
First Address | Farmington Hills, MI 48331-2039 |
Second Address | Farmington Hills, MI 48334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 22/03/2016 |