Individual
JONATHON ROSS PRIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP F, ANN ARBOR, MI 48109-5332
(734) 936-5738
(734) 936-6927
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006607
MI
Other
Enumeration date
02/18/2013
Last updated
12/11/2013
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