Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 06030003 | MI |
NPI | 1164632238 |
---|---|
Provider Name | Ms. Adarsa Sing Antares |
First Address | Ann Arbor, MI 48103-2725 |
Second Address | Ann Arbor, MI 48103-2725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |