Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101021637 | MI |
N | 111NI0900X | Internist | 5101021637 | MI |
Y | 207RI0200X | Infectious Disease | 5101021637 | MI |
NPI | 1073994158 |
---|---|
Provider Name | Joel Szela |
First Address | Rochester Hills, MI 48307-6124 |
Second Address | Rochester Hills, MI 48307-6124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2015 |
Last Update Date | 07/05/2020 |