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Individual
JEFFERSON D ALFERINK
Active
Individual
JEFFERSON D ALFERINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307011752
BCBSM
MI
01
—
5601004454
PHYS. ASST. LICENSE
MI
01
—
JA004454
STATE LICENSE
—
Enumeration date
07/12/2006
Last updated
08/24/2020
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