Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301099067 | MI |
N | 207SG0201X | Clinical Genetics (M.D.) | 4301099067 | MI |
NPI | 1184050718 |
---|---|
Provider Name | Mark Hughes |
First Address | Grosse Pointe, MI 48236-3254 |
Second Address | Plymouth, MI 48170-2089 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2013 |
Last Update Date | 14/09/2013 |