Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | LS031767 | MI |
NPI | 1275522294 |
---|---|
Provider Name | Ling T Shih |
First Address | Midland, MI 48640-6113 |
Second Address | Midland, MI 48640-6113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1065000 | (05) | MI |
B44152 | (02) | MI |