Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 066146 | MI |
NPI | 1033132188 |
---|---|
Provider Name | Mrs. Geeta D Rode |
First Address | Flint, MI 48532 |
Second Address | Flint, MI 48532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G01034 | (02) |