Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 230905 | MA |
N | 207X00000X | Orthopaedic Surgeon | 4301080456 | MI |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 4301080456 | MI |
NPI | 1043353444 |
---|---|
Provider Name | Michael W Laker |
First Address | Rochester, MI 48307-1871 |
Second Address | Rochester, MI 48307-1871 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 30/07/2014 |