Organization
JERRY ORTHOPAEDIC INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD J JERRY M.D. (PRESIDENT)
(810) 987-9871
Entity
Organization
Contact information
Practice address
600 FORT ST, SUITE 100, PORT HURON, MI 48060-3941
(810) 987-9871
(810) 987-6070
Mailing address
2009 RIVER RD, SAINT CLAIR, MI 48079-4251
(810) 329-7857
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2896292
—
MI
Enumeration date
10/18/2016
Last updated
08/02/2023
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