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Ethan Nayback, AT-C
NPI 1164663589 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3905 Leonard St
Marne, MI 49435 - Phone
- (616) 558-2715
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan