Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagan Ingrody

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346080629

Eagan Ingrody is a Student in an Organized Health Care Education/Training Program in Saint Clair Shores, Michigan. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200
Phone: (586) 777-2050
Fax: (586) 777-2189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1346080629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200

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