Individual
CAROL AGNES JUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(291) 726-4498
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301091286
MI
207L00000X
Anesthesiology Physician
MT183704
PA
207R00000X
Internal Medicine Physician
C1-0006591
DE
Other
Enumeration date
08/30/2007
Last updated
11/03/2016
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