Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 01066395A | IN |
N | 207RN0300X | Nephrologist | 059147 | GA |
Y | 207RN0300X | Nephrologist | 4301096045 | MI |
NPI | 1023296050 |
---|---|
Provider Name | Valerie Siqueira Duhn |
First Address | Kalamazoo, MI 49007 |
Second Address | Kalamazoo, MI 49007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 28/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000642049 | ANTHEM PROVIDER NUMBER (01) | IN |
200965400 | (05) | IN |