Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 5101007188 | MI |
NPI | 1922105337 |
---|---|
Provider Name | Joyce Foster-Hartsfield |
First Address | Southfield, MI 48034-5965 |
Second Address | Memphis, MI 48041-1038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |