Individual
DR. AMY ANNA EAPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19401 HUBBARD DR, DEARBORN, MI 48126-2641
(313) 593-8100
Mailing address
19401 HUBBARD DR, DEARBORN, MI 48126-2641
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
4301502178
MI
390200000X
Student in an Organized Health Care Education/Training Program
11017745A
IN
Other
Enumeration date
06/06/2014
Last updated
05/21/2020
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