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Individual

DR. MARISHA AGANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., MPH

Contact information

Practice address
2201 S GETTY ST, MUSKEGON, MI 49444-1207
(231) 739-9315
Mailing address
2201 S GETTY ST, MUSKEGON, MI 49444-1207
(231) 739-9315
(231) 737-1808

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.077201
OH
208000000X
Pediatrics Physician
Primary
4301112450
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639121064
MI
Enumeration date
05/16/2006
Last updated
03/17/2021
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