Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 4301071986 | MI |
NPI | 1033191937 |
---|---|
Provider Name | Jeffrey Placzek |
First Address | Novi, MI 48374-1212 |
Second Address | Novi, MI 48374-1212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 18/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
400000770 | RAILROAD MEDICARE (01) | MI |
H87848 | (02) | MI |