IndividualActive
Eileen Axibal, M.D.
NPI 1154732386 · MOHS-Micrographic Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1154732386
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2019-00214 (NC)
Practice location
1740 E Paris Ave Se
Grand Rapids, MI 49546-6204
Phone: (616) 949-5600
Fax: (616) 949-6571
Mailing address
1740 E Paris Ave Se
Grand Rapids, MI 49546-6204
Registry dates
- Enumerated
- 2014-05-09
- Last updated
- 2024-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.