Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4301061386 | MI |
N | 207PE0004X | Emergency Medical Services | 4301061386 | MI |
NPI | 1023088069 |
---|---|
Provider Name | Gary Thomas Neher |
First Address | Northville, MI 48168-6856 |
Second Address | Grosse Pointe Farms, MI 48236-3610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 14/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F13542 | (02) |