Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301076376 | MI |
N | 208600000X | Surgeon | 4301076376 | MI |
N | 208200000X | Surgeon | 4301076376 | MI |
N | 208600000X | Surgeon | 4301076376 | MI |
Y | 2086S0105X | Surgery of the Hand | 4301076376 | MI |
NPI | 1285805895 |
---|---|
Provider Name | William Clifford Huettner |
First Address | East Lansing, MI 48823-6916 |
Second Address | East Lansing, MI 48823-6916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2008 |
Last Update Date | 23/07/2010 |