Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 34.010414 | OH |
NPI | 1083889216 |
---|---|
Provider Name | Michelle Marie Birkenholz |
First Address | Dublin, OH 43016-6094 |
Second Address | Dublin, OH 43016-4144 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 15/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0065025 | (05) | OH |