Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2301008491 | MI |
NPI | 1861554008 |
---|---|
Provider Name | Mr. Franz Esko Aukee |
First Address | Ironwood, MI 49938-2070 |
Second Address | Ironwood, MI 49938-2070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0B75010 | BLUE CROSS BLUE SHIELD ID (01) | MI |
38936500 | (05) | WI |
4383643 | (05) | MI |
U88827 | (02) | MI |