Organization
LOYAL W JODAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOYAL W JODAR MD (PRESIDENT)
(231) 347-5155
Entity
Organization
Contact information
Practice address
4048 CEDAR BLUFF DR, STE 1, PETOSKEY, MI 49770-8895
(231) 347-5155
Mailing address
PO BOX 430, PETOSKEY, MI 49770-0430
(231) 347-5155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301020500
MI
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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