Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 47327 | WI |
Y | 204F00000X | Transplant Surgeon | D0074647 | MD |
NPI | 1639127293 |
---|---|
Provider Name | Ms. Silke V Niederhaus |
First Address | Baltimore, MD 21264-4226 |
Second Address | Baltimore, MD 21201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 27/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
057688300 | (05) | MD |
248529Y5X | (02) | MD |