Individual
DAVID EUGENE EGGERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E MICHIGAN AVE, SUITE 310, JACKSON, MI 49201-1847
(517) 788-6968
(517) 796-9122
Mailing address
1100 E MICHIGAN AVE, SUITE 310, JACKSON, MI 49201-1847
(517) 788-6968
(517) 796-9122
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301043561
MI
2086S0129X
Vascular Surgery Physician
Primary
4301043561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203806701
BCBS OF MI
MI
01
—
100913
GREAT LAKES HEALTH PLAN
—
01
—
105036
CARE CHOICES/PREFERRED
—
01
—
1720063
PHP (HEALTH PLAN)
MI
05
—
2114910
—
MI
01
—
4599487
AETNA (HEALTH PLANS)
—
01
—
P58588
BCN (HEALTH PLAN)
—
Enumeration date
08/30/2005
Last updated
09/11/2025
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