Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 29548 | KY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 4301066573 | MI |
NPI | 1124090808 |
---|---|
Provider Name | Edward T Murphy |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Grand Rapids, MI 49503-2560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 24/02/2021 |