Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 4301049082 | MI |
NPI | 1023026721 |
---|---|
Provider Name | Monte A Delmonte |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48105-1912 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 11/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1662708 | (05) | MI |
D73107 | (02) |