Individual
AJAY EAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 W FAIR AVE STE 36, MARQUETTE, MI 49855-2675
(906) 449-1010
Mailing address
1414 W FAIR AVE STE 36, MARQUETTE, MI 49855-2675
(906) 449-1010
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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