Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 4301504156 | MI |
NPI | 1285128975 |
---|---|
Provider Name | Rebecca Warwick |
First Address | Ann Arbor, MI 48109-5718 |
Second Address | Ann Arbor, MI 48109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2018 |
Last Update Date | 08/07/2021 |