Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301046383 | MI |
Y | 207VX0201X | Gynecologic Oncologist | 4301046383 | MI |
NPI | 1104896562 |
---|---|
Provider Name | Gunter Deppe |
First Address | Troy, MI 48083-1138 |
Second Address | Detroit, MI 48235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 03/05/2017 |