Individual
EMILY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
3938 N ROSEBUD CT SE APT 9, KENTWOOD, MI 49512-9469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012563
MI
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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