Organization Name: | JAMES E WHITMAN MD PC, |
NPI Number: | 1366656076 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES E WHITMAN (OWNER) |
Mailing Address: | 3930 E 8 Mile Rd Detroit |
State: | MI US |
Postal Code: | 482341012 |
Phone Number: | 3133685330 |
Fax Number: | 3133686819 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301022757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |