Individual
EKATERINA IAUSHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
760 W FRANKLIN ST, JACKSON, MI 49201-2048
(517) 205-2700
Mailing address
760 W FRANKLIN ST, JACKSON, MI 49201-2048
(517) 205-2700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301508408
MI
208000000X
Pediatrics Physician
4351046784
MI
Other
Enumeration date
07/24/2020
Last updated
06/14/2023
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