Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA08105400 | NJ |
N | 2084N0402X | Child Neurologist | 25MA08105400 | NJ |
NPI | 1114016227 |
---|---|
Provider Name | Michael Seyffert |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-2700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 10/06/2014 |