Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301099518 | MI |
N | 111NI0900X | Internist | 4301099518 | MI |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 4301099518 | MI |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | L0004 | TX |
NPI | 1083670251 |
---|---|
Provider Name | Richard J Auchus |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 04/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
038835701 | (05) | TX |
G63825 | (02) | |
G63825 | (02) | MI |