Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 4301072984 | MI |
NPI | 1063481919 |
---|---|
Provider Name | Linda L Mcintire |
First Address | Ann Arbor, MI 48108-8595 |
Second Address | Ann Arbor, MI 48108-8595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 09/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I39033 | (02) |