Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301111316 | MI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 4301111316 | MI |
NPI | 1174840185 |
---|---|
Provider Name | Michael Tsimis |
First Address | Troy, MI 48083-5333 |
Second Address | Troy, MI 48083-5333 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 02/03/2021 |