Individual
JAMIE EIDSATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M.
Contact information
Practice address
1545 NORTHBROOK DR, ANN ARBOR, MI 48103-6193
(734) 274-5325
Mailing address
1545 NORTHBROOK DR, ANN ARBOR, MI 48103-6193
(734) 274-5325
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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