Carol Agnes Jugan M.D.

NPI 1174717433 - Internal Medicine - 207R00000X

NPI Details
NPI 1174717433
Gender Female
Enumeration Date 08/30/2007
Last Updated 12/23/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
200 JEFFERSON AVE SE
GRAND RAPIDS MI, 49503-4502, US
Phone (616) 752-6445
Fax
Business Location
200 JEFFERSON AVE SE
GRAND RAPIDS MI, 49503-4502, US
Phone (616) 752-6445
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Delaware
License Number C1-0006591
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According to our database, Carol Agnes Jugan M.D. NPI is 1174717433, taxonomy code is 207R00000X and license number is C1-0006591, license state is located at Delaware. Carol Agnes Jugan M.D. physically located at 200 Jefferson Ave Se, Grand Rapids MI, 49503-4502. NPI Number Carol Agnes Jugan M.D. has the Individual type.

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1174717433 NPI number is provided on an as is basis without warranty of any kind. 1174717433 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Agnes Jugan M.D. are for informational purposes only.