Zachary Kanjuparamban Mdpc

NPI 1609009984 - Specialist - 174400000X

NPI Details
NPI 1609009984
Enumeration Date 09/02/2009
Last Updated 09/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JENNIFER JENNIFER
Position OFFICE MANAGER
Phone (989) 772-1989
Fax (989) 772-5523
Practice Location
211 S CRAPO ST
SUITE D
MT PLEASANT MI, 48858-2961, US
Phone (989) 772-1989
Fax (989) 772-5523
Business Location
211 S CRAPO ST
SUITE D
MT PLEASANT MI, 48858-2961, US
Phone (989) 772-1989
Fax (989) 772-5523
Toxanomy
Taxonomy Code 174400000X
License State Michigan
License Number 4301033831
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According to our database, Zachary Kanjuparamban Mdpc NPI is 1609009984, taxonomy code is 174400000X and license number is 4301033831, license state is located at Michigan. Zachary Kanjuparamban Mdpc physically located at 211 S Crapo St, Mt Pleasant MI, 48858-2961. NPI Number 1033115704 has the healthcare provider type.

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1609009984 NPI number is provided on an as is basis without warranty of any kind. 1609009984 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Kanjuparamban Mdpc are for informational purposes only.