Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 4301052640 | MI |
NPI | 1043275019 |
---|---|
Provider Name | John R Harding |
First Address | St Clair Shores, MI 48081-3200 |
Second Address | Utica, MI 48317-5735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 28/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0985061 | HEALTH PLUS (01) | MI |
120719 | PRIORITY HEALTH (01) | MI |
340010641 | RAILROAD MEDICARE (01) | MI |
5287084 | AETNA (01) | MI |
9447264001 | CIGNA (01) | MI |
G09867 | (02) | MI |
G09867 | HAP (01) | MI |