Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301104324 | MI |
Y | 111NI0900X | Internist | 4301104324 | MI |
N | 207R00000X | Internist | DR-48637 | CO |
N | 111NI0900X | Internist | DR-48637 | CO |
N | 207RH0002X | Hospice and Palliative Medicine | 4301104324 | MI |
N | 207RH0002X | Hospice and Palliative Medicine | DR-48637 | CO |
NPI | 1336227107 |
---|---|
Provider Name | John Douglas Hunter |
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 | 01/11/2006 |
Last Update Date | 28/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A772420 | (05) | CA |
H33232 | (02) |