Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301074596 | MI |
Y | 207VE0102X | Reproductive Endocrinologist | 4301074596 | MI |
NPI | 1225041510 |
---|---|
Provider Name | Senait Fisseha |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48108-1649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 27/02/2012 |