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Individual
BRIDGETTE L JERRELS
Active
Individual
BRIDGETTE L JERRELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001553
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2828087
—
MI
01
—
485-82-5187-0
BCBSM
—
Enumeration date
09/09/2005
Last updated
07/13/2026
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