Individual
JONATHON MICHAEL HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS
Contact information
Practice address
26850 PROVIDENCE PKWY STE 260, NOVI, MI 48374-1256
(248) 465-5140
(248) 465-5141
Mailing address
26850 PROVIDENCE PKWY STE 260, NOVI, MI 48374-1256
(248) 465-5140
(248) 465-5141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011644
MI
Other
Enumeration date
07/08/2020
Last updated
07/18/2024
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