Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 5101007019 | MI |
NPI | 1003877721 |
---|---|
Provider Name | Joseph C. O'laughlin |
First Address | Clinton Township, MI 48036-3672 |
Second Address | Clinton Township, MI 48036-3672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1334458 | (05) | MI |
B43099 | (02) |