Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4901004054 | MI |
NPI | 1013061977 |
---|---|
Provider Name | Sherry H Day |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48105-1912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 21/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4621790 | (05) | MI |
V00878 | (02) | MI |