Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4704340511 | MI |
NPI | 1114679487 |
---|---|
Provider Name | Meghan Leah Whipple |
First Address | Farwell, MI 48622-9759 |
Second Address | Bay City, MI 48708-7609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2022 |
Last Update Date | 19/01/2022 |