Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301083998 | MI |
Y | 2080P0208X | Pediatric Infectious Diseases | 4301083998 | MI |
NPI | 1588866404 |
---|---|
Provider Name | Eric J Mcgrath |
First Address | Detroit, MI 48201 |
Second Address | Detroit, MI 48201-2119 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 23/11/2015 |