Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 35045562 | OH |
NPI | 1093862757 |
---|---|
Provider Name | Michelle Uhl |
First Address | Wooster, OH 44691-2204 |
Second Address | Wooster, OH 44691-1255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 01/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0453932 | (05) | OH |
B42662 | (02) | OH |