Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 4301028625 | MI |
NPI | 1710059647 |
---|---|
Provider Name | Monica N Starkman |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-0116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1262199 | (05) | MI |
B46755 | (02) | MI |