Doctor Name: | DR. DEBORAH PHIPPS |
NPI Number: | 1306251384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 4301105536 |
Business Practice Address: | 200 Arnet St Suite 200 Ypsilanti, MI - 481985753 |
Business Phone Number: | 7345443220 |
Business Fax Number: | |
Mailing Address: | 1150 W Medical Center Dr, 7300 Medical Science Building I, Spc 5625 ANN ARBOR |
State: | MI |
Postal Code: | 481090600 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 04/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301105536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |