Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 028546 | MI |
NPI | 1023220621 |
---|---|
Provider Name | Howard Duncan |
First Address | Flint, MI 48507 |
Second Address | Flint, MI 48507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
43028546 | BLUE CROSS (01) | MI |
B48130 | (02) | MI |