Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 35.097492 | OH |
NPI | 1033273040 |
---|---|
Provider Name | Erin Renee Macrae |
First Address | Columbus, OH 43214-4359 |
Second Address | Columbus, OH 43214-4359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 14/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0050411 | (05) | OH |