Individual
DR. ABIGAIL AMY ANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-2641
(269) 201-2855
Mailing address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-2641
(269) 201-2855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01071550A
IN
207Q00000X
Family Medicine Physician
390200000X
PA
207Q00000X
Family Medicine Physician
Primary
4301108581
MI
207V00000X
Obstetrics & Gynecology Physician
01071550A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922272392
—
MI
05
—
201138000
—
IN
Enumeration date
04/16/2008
Last updated
03/17/2018
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