Individual
JEFFERY J ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
1229 W WASHINGTON ST, MARQUETTE, MI 49855-3186
(906) 353-7161
(906) 353-7000
Mailing address
509 S SUPERIOR AVE, BARAGA, MI 49908-9698
(906) 353-7161
(906) 353-7000
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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