Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | TB069278 | MI |
NPI | 1669471652 |
---|---|
Provider Name | Thomas H Beird |
First Address | Saginaw, MI 48602-5394 |
Second Address | Saginaw, MI 48602-5394 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 20/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103308789 | (05) | MI |
G46968 | (02) | MI |