Individual
JORDAN BELLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
109 S 13TH AVE, ALPENA, MI 49707-1609
(989) 356-2400
Mailing address
8775 WINDING RIDGE DR, MILLERSBURG, MI 49759
(989) 733-0008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010435
MI
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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