Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1023761806 |
---|---|
Provider Name | Justin Cain |
First Address | Grosse Pointe Woods, MI 48236-2893 |
Second Address | Grosse Pointe Woods, MI 48236-2893 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2022 |
Last Update Date | 01/02/2022 |