Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 5901001138 | MI |
NPI | 1053496554 |
---|---|
Provider Name | Steven R Binder |
First Address | Pontiac, MI 48340-3412 |
Second Address | Pontiac, MI 48340-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 21/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1536220 | (05) | MI |
5630125 | BCBS (01) | MI |
T34152 | (02) | MI |