Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1114696861 |
---|---|
Provider Name | Mr. Robert Eugene Thomas Patten |
First Address | Kentwood, MI 49548-7179 |
Second Address | Kentwood, MI 49548-7179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2021 |
Last Update Date | 01/10/2021 |