Individual
JORDAN SPENCER MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-7392
Mailing address
8328 DEER CREEK CT, GRAND BLANC, MI 48439-9261
(509) 475-4414
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101021831
MI
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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