Individual
JACK LEE NETTLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 BEECHER RD, SUITE A, FLINT, MI 48532-3661
(810) 342-3800
(810) 342-3784
Mailing address
PO BOX 1236, GRAND BLANC, MI 48480-3236
(810) 342-3800
(810) 342-3784
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
JN047780
MI
Other
Enumeration date
07/28/2005
Last updated
10/06/2009
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