Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | UH006611 | MI |
NPI | 1508830894 |
---|---|
Provider Name | Ulf R Hierlwimmer |
First Address | Battle Creek, MI 49037-3461 |
Second Address | Holland, MI 49423-7724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 23/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
111435568 | (05) | MI |
A74640 | (02) | MI |