Individual
ELLIE KURKECHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6170 S SAGINAW RD, GRAND BLANC, MI 48439-7026
(810) 603-9765
Mailing address
10110 PINE MEADOWS CT, GOODRICH, MI 48438-9246
(810) 240-8807
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5302043513
MI
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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