Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301079140 | MI |
Y | 2080P0210X | Pediatric Nephrologist | 4301079140 | MI |
NPI | 1912911173 |
---|---|
Provider Name | Friedhelm Hildebrandt |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 21/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4395359 | (05) | MI |
H59413 | (02) |