Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 4301076929 | MI |
NPI | 1295946200 |
---|---|
Provider Name | Rebecca M Studinger |
First Address | Howell, MI 48843-5711 |
Second Address | Novi, MI 48374-1233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 29/11/2007 |