Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 5101017248 | MI |
NPI | 1003013392 |
---|---|
Provider Name | Erik M Ratchford |
First Address | Grand Rapids, MI 49503-4607 |
Second Address | Grand Rapids, MI 49503-4607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 18/07/2012 |