Agana, Marisha

Agana, Marisha is an individual health care provider with primary practice located at 2201 S Getty St , Muskegon MI 49444-1207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Agana, Marisha can be contacted via phone (231) 739-9315.

Contact Information

Primary practice address
2201 S Getty St Muskegon MI 49444-1207
Phone: (231) 739-9315
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.077201 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301112450 Michigan

Profile Details

NPI number 1639121064
LBN Legal business name Agana, Marisha
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639121064 NPPES
Michigan MEDICAID 1639121064

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