Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 043338 | CT |
N | 207V00000X | Obstetrician & Gynecologist | 4301099669 | MI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301099669 | MI |
NPI | 1679669303 |
---|---|
Provider Name | Megan O'brien Schimpf |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-4276 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 09/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001433382 | (05) | CT |
I44848 | (02) | CT |