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Individual

EHSEN IRFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 729-4978
Mailing address
10850 E TRAVERSE HWY STE 4400, TRAVERSE CITY, MI 49684-1320
(231) 346-6800
(231) 346-6096

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101256323
VA
207Q00000X
Family Medicine Physician
Primary
4301098881
MI

Other

Enumeration date
06/17/2011
Last updated
04/20/2018
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