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1033166590 NPI number — WILLIAM M. SEROTE D.O.

NPI Number: 1033166590
Health Care Provider/Practitioner: WILLIAM M. SEROTE D.O.

Information about “1033166590” NPI (WILLIAM M. SEROTE D.O.) exists in 1033166590 in HTML format HTML  |  1033166590 in plain Text format TXT  |  1033166590 in PDF (Portable Document Format) PDF  |  1033166590 in an XML format XML  formats.

NPI Number : 1033166590 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033166590",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEROTE",
    "FirstName": "WILLIAM",
    "MiddleName": "M.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "385 MELINDA CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITE LAKE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48386-3461",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-698-9614",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "461 W HURON ST",
    "SecondLinePracticeLocationAddress": "NOMC EMERCENCY CENTER",
    "PracticeLocationAddressCityName": "PONTIAC",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48341-1601",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-857-7440",
    "PracticeLocationAddressFaxNumber": "248-857-6992",
    "EnumerationDate": "05/30/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "5101006868",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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