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NPI Code Detail

MEDICARE: MICHAEL EKANEM

MEDICARE: MICHAEL EKANEM
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
1251E00000XHome Health Agency
2372500000XChore Provider

General Provider Information

NPI Number : 1538093539
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EKANEM
Provider Business Mailing Address
First Line : 1412 NEPTUNE DR
Second Line :
City : CARTER LAKE
State : IA
Zip : 51510-1443
Country : US
Telephone Number : 531-721-6932
Fax Number :
Provider Business Practice Location Address
First Line : 1412 NEPTUNE DR
Second Line :
City : CARTER LAKE
State : IA
Zip : 51510-1443
Country : US
Telephone Number : 531-721-6932
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ MICHAEL EKANEM ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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