Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 34394 | MI |
NPI | 1154400430 |
---|---|
Provider Name | Mohammad Mohsenian |
First Address | E Lansing, MI 48823 |
Second Address | Lansing, MI 48912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |