Gilbert S Omenn
Internist Clinical Genetics (M.D.)
24 Frank Lloyd Wright Dr Lobby C
Ann Arbor
, Michigan 48105-9484
Gilbert S Omenn
Internist Clinical Genetics (M.D.)
24 Frank Lloyd Wright Dr Lobby C
Ann Arbor
, Michigan 48105-9484
(734) 936-2047
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About
Features
Specialties
- Internist
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Gilbert S Omenn
- 3621 S State St 700 Kms Place
- Ann Arbor, MI
- Zip : 48108
- Phone : (734) 936-2047
Second Address
- Gilbert S Omenn
- 24 Frank Lloyd Wright Dr Lobby C
- Ann Arbor, MI
- Zip : 48105-9484
- Phone : (734) 647-8906
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301073173 | MI |
| N | 111NI0900X | Internist | 4301073173 | MI |
| Y | 207SG0201X | Clinical Genetics (M.D.) | 4301073173 | MI |
National Provider Identifier
| NPI | 1649351081 |
|---|---|
| Provider Name | Gilbert S Omenn |
| First Address | Ann Arbor, MI 48108 |
| Second Address | Ann Arbor, MI 48105-9484 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 05/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4692120 | (05) | MI |
| A05305 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.