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Ian Waters
Student in an Organized Health Care Education/Training Program in Canton, Michigan
NPI 1558052712

Ian Waters is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Ian Waters practices in Canton, MI. The NPI Number for Ian Waters is 1558052712 and holds a License No. 4351050554 (Michigan).

The current practice location address for Ian Waters is 1051 N Canton Center Rd, Canton, MI and can be reached out via phone at 734-998-2020.

Location: 1051 N Canton Center Rd, Canton, MI, 48109-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558052712
Provider Name
Ian Waters
Credential
Provider Entity Type
Individual
Gender
Male
Address
1051 N Canton Center Rd, Canton, MI, 48109-5000
Phone Number
734-998-2020
Fax Number
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1051 N Canton Center Rd
City
Canton
State
Michigan
Zip
48187-5097
Phone Number
734-998-2020
Fax Number
person
Provider Business Mailing Address Details
Address
1051 N Canton Center Rd
City
Canton
State
Michigan
Zip
48187-5097
Phone Number
734-998-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4351050554 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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