Organization
SWEETWATER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DANIELS PA-C (PHYSICIAN ASSISTANT)
(989) 828-4614
Entity
Organization
Contact information
Practice address
322 E WRIGHT AVE, SHEPHERD, MI 48883
(989) 828-4614
(989) 828-6853
Mailing address
322 E WRIGHT AVE, SHEPHERD, MI 48883-9375
(989) 828-4614
(989) 828-6853
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
04/22/2019
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