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EVELYN ECCLES, MD
NPI 1679776264
Family Medicine in Manchester, MI

Active since June 09, 2007
122 W MAIN ST, BOX 570, MANCHESTER, MI 48158(734) 428-8381(734) 428-9066 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evelyn Eccles, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVELYN ECCLES, MD (NPI 1679776264) is a healthcare organization registered as a family medicine in Manchester, Michigan and active in the NPI registry since June 2007. The organization lists Evelyn Eccles, Owner, as its authorized official.

NPPES Registry Identity

NPI1679776264
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVELYN ECCLES, MD
Location Address122 W MAIN ST, BOX 570Manchester, MI 48158-1002
Mailing Address122 W Main St, Box 570Manchester, MI 48158-1002 · (734) 428-8381 · Fax (734) 428-9066
Phone(734) 428-8381
Fax(734) 428-9066
Organization SubpartNo
Authorized OfficialEvelyn EcclesOwner · (734) 428-8381
Enumeration DateJune 9, 2007
Last NPPES UpdateFebruary 22, 2008
✔ NPI 1679776264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301043902
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
122 W MAIN ST, Manchester, MI 48158
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Other Identifiers 5

Medicare UPIND83181MI
Medicaid1802237MI
Other1366533689MI · Eccles Personal Npi
Medicare ID-Type Unspecified08111197081MI · Eccles
Other1568521458MI · Tamagne Personal Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN ECCLES MD
Family Medicine
122 W MAIN ST, BOX 570
MANCHESTER, MI 48158
Washtenaw County (734) 428-8381
MRS. GAYLE ANNE ANTONELLI PA-C
Physician Assistant
122 W MAIN ST
MANCHESTER, MI 48158
Washtenaw County (734) 428-8381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelyn Eccles, MD's NPI number?

The NPI number for Evelyn Eccles, MD is 1679776264. It was assigned to this organization in the NPPES registry on June 9, 2007.

Where is Evelyn Eccles, MD located?

Evelyn Eccles, MD is located at 122 W Main St Box 570, Manchester, MI 48158. The listed phone number is (734) 428-8381.

What is Evelyn Eccles, MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Evelyn Eccles, MD was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.