Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 4301072353 | MI |
NPI | 1023057932 |
---|---|
Provider Name | Joanne Vicari Block |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ann Arbor, MI 48103-1889 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 21/08/2019 |