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NPI Code Detail

MEDICARE: DR. EMILY EUBANKS ABBOTT D.O., M.S.

MEDICARE:  DR. EMILY EUBANKS ABBOTT  D.O., M.S.
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
1208600000XSurgery PhysicianOS019817PA
22086S0105XSurgery of the Hand (Surgery) Physician5101020617MI

General Provider Information

NPI Number : 1912345737
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY EUBANKS ABBOTT D.O., M.S.
Provider Business Mailing Address
First Line : 11012 E 13 MILE RD STE 112
Second Line :
City : WARREN
State : MI
Zip : 48093-2546
Country : US
Telephone Number : 586-751-3380
Fax Number :
Provider Business Practice Location Address
First Line : 11012 E 13 MILE RD STE 112
Second Line :
City : WARREN
State : MI
Zip : 48093-2546
Country : US
Telephone Number : 586-751-3380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 02/01/2024

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Directions to “ DR. EMILY EUBANKS ABBOTT D.O., M.S.” Practice Location

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