Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 04-34658 | KS |
Y | 2080P0202X | Pediatric Cardiologist | 2010033574 | MO |
NPI | 1245225606 |
---|---|
Provider Name | Michael F Artman |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 19/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0457168 | (05) | IA |
37915 | WELLMARK BCBS (01) | IA |
C76547 | (02) |