Individual
JEFFREY A FIERSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-4575
Mailing address
2837 US HIGHWAY 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004497
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140E21083
BLUE CROSS BLUE SHIELD OF MI
MI
Enumeration date
11/28/2005
Last updated
05/19/2008
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