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NPI Code Detail

MEDICARE: CLAIRE ELIZABETH ABRAHAM

MEDICARE: CLAIRE ELIZABETH ABRAHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant5601007876MI

General Provider Information

NPI Number : 1356898407
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE ELIZABETH ABRAHAM
Provider Business Mailing Address
First Line : 245 S 2ND ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9650
Country : US
Telephone Number : 989-584-3981
Fax Number :
Provider Business Practice Location Address
First Line : 245 S 2ND ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9650
Country : US
Telephone Number : 989-584-3981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 09/07/2016

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Directions to “ CLAIRE ELIZABETH ABRAHAM ” Practice Location

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