Individual
JACOB FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5830 N LAPEER RD STE B&C, NORTH BRANCH, MI 48461-9660
(810) 545-0235
Mailing address
5830 N LAPEER RD STE B-D, NORTH BRANCH, MI 48461-9660
(810) 545-0235
(810) 545-0409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704336069
MI
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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