Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5501003000 | MI |
NPI | 1003860099 |
---|---|
Provider Name | Mrs. Carolee Mae Hinterman |
First Address | Midland, MI 48642-7878 |
Second Address | Midland, MI 48642-7878 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 08/07/2007 |