Individual
ADNAN EJUPOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1217 KEARNEY ST, PORT HURON, MI 48060-3571
(810) 982-4240
(586) 429-1501
Mailing address
1217 KEARNEY ST, PORT HURON, MI 48060-3571
(810) 982-4240
(586) 429-1501
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
36.004096
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400528
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/14/2020
Last updated
12/19/2024
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