Individual
MR. JAMES EDWARD VAN ECK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 N 4TH ST APT 5, MARQUETTE, MI 49855-3444
(906) 202-2865
Mailing address
301 N 4TH ST APT 5, MARQUETTE, MI 49855-3444
(906) 202-2865
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703116365
MI
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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