Individual
DR. ANDREW JAMES EKDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
271 E M35, GWINN, MI 49841-9003
(906) 346-6349
Mailing address
727 KEMP ST, LANSE, MI 49946-1439
(906) 201-1918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IN PROCESS
MI
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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