Organization
ZACHARY KANJUPARAMBAN MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MCCONKIE (OFFICE MANAGER)
(989) 772-1989
Entity
Organization
Contact information
Practice address
211 S CRAPO ST, SUITE D, MT PLEASANT, MI 48858-2961
(989) 772-1989
(989) 772-5523
Mailing address
211 S CRAPO ST, SUITE D, MT PLEASANT, MI 48858-2961
(989) 772-1989
(989) 772-5523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301033831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1425759
—
MI
Enumeration date
09/02/2009
Last updated
09/02/2009
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