Individual
JASON R BORTNEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
555 SAINT CLAIR RIVER DR, ALGONAC, MI 48001-1802
(810) 794-4917
(810) 794-4407
Mailing address
PO BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021159
MI
Other
Enumeration date
04/15/2014
Last updated
07/21/2022
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