Individual provider · NPI-1
Jacob Lyman Leonard Bilhartz, MD
Pediatrics, Pediatric Transplant Hepatology · Ann Arbor, MI
NPI number1467612192
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1467612192
- Entity type
- Individual (NPI-1)
- Name
- Jacob Lyman Leonard Bilhartz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2008
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080T0004X | Pediatrics, Pediatric Transplant Hepatology | 4301091940 | MI | Yes |
| 208000000X | Pediatrics | 4301091940 | MI | |
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | 4301091940 | MI |
Practice location
1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone 734-936-4000
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
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