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Individual

MICAH EBELE DAWATI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2109 HAMILTON RD STE 217, OKEMOS, MI 48864-1700
(855) 882-8247
Mailing address
3302 PIEDMONT DR, KALAMAZOO, MI 49004-1151
(269) 352-2716

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010524
MI

Other

Enumeration date
04/13/2021
Last updated
02/15/2023
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