Organization
M.W. EUSTACE M.D. PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOHARAN EUSTACE M.D. (PRESIDENT)
(810) 658-2131
Entity
Organization
Contact information
Practice address
1032 N IRISH RD, DAVISON, MI 48423-2209
(810) 658-2131
(810) 658-3500
Mailing address
1032 N IRISH RD, DAVISON, MI 48423-2209
(810) 658-2131
(810) 658-3500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301056842
MI
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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