Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301116439 | MI |
N | 207YP0228X | Pediatric Otolaryngology | 4301116439 | MI |
NPI | 1477878916 |
---|---|
Provider Name | Erin Marie Kirkham |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-4227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2010 |
Last Update Date | 14/02/2020 |