Individual
DR. ABRAHAM EAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4565 WILSON AVE SW STE 4A, GRANDVILLE, MI 49418-2371
(616) 591-9000
Mailing address
4565 WILSON AVE SW STE 4A, GRANDVILLE, MI 49418-2371
(616) 591-9400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015241
MI
Other
Enumeration date
12/01/2022
Last updated
06/15/2023
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