Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 4301053249 | MI |
Y | 208200000X | Surgeon | 4301053249 | MI |
Y | 208600000X | Surgeon | 4301053249 | MI |
NPI | 1003917014 |
---|---|
Provider Name | John C Magee |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3281371 | (05) | MI |
G38603 | (02) | MI |