Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 4301080284 | MI |
NPI | 1063577625 |
---|---|
Provider Name | Svetlana O Aminova |
First Address | Rochester Hls, MI 48307-0019 |
Second Address | Rochester Hls, MI 48307-6122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 26/02/2008 |