Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125-063339 | IL |
Y | 207X00000X | Orthopaedic Surgeon | 4301500257 | MI |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 4301500257 | MI |
NPI | 1598103392 |
---|---|
Provider Name | Noelle Serwaa Boakye Whyte |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 25/02/2020 |