Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301109159 | MI |
NPI | 1043535552 |
---|---|
Provider Name | Michael Andreas Flierl |
First Address | Troy, MI 48084-4852 |
Second Address | Troy, MI 48084-4852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 22/10/2020 |