Individual
DAVID EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
8767 GRATIOT RD, SAGINAW, MI 48609-4823
(989) 781-1124
(989) 781-0950
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2949
(989) 583-7536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101011990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4747326
—
MI
Enumeration date
06/13/2006
Last updated
07/08/2007
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