Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 4301088076 | MI |
Y | 2084N0600X | Clinical Neurophysiologist | 4301088076 | MI |
NPI | 1639458961 |
---|---|
Provider Name | Temenuzhka G Mihaylova |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2011 |
Last Update Date | 01/11/2011 |