Individual provider · Type 1 NPI

Eagan Ingrody

Student in an Organized Health Care Education/Training Program · St. Clair Shores, MI

NPI number 1346080629 Active

Practice location

24911 Little Mack Ave Ste C
St. Clair Shores, MI 48080-3200

Call (586) 777-2050 Map

Fax (586) 777-2189

Other practice locations

  • 1632 Stone St, Saginaw, MI 48602 · (989) 583-6595

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1346080629

Eagan Ingrody's National Provider Identifier is 1346080629, issued on May 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 7, 2026.