Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 4301117437 | MI |
N | 208200000X | Surgeon | MT202081 | PA |
N | 208600000X | Surgeon | MT202081 | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 4301117437 | MI |
NPI | 1245591148 |
---|---|
Provider Name | Reilly Daniel Hobbs |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 04/11/2021 |