Individual
MR. JEFFOREY MCLANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5601 HATCHERY RD, WATERFORD, MI 48329-3451
(248) 674-5367
Mailing address
1350 BALD EAGLE LAKE RD, ORTONVILLE, MI 48462-9038
(248) 431-3219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003670
MI
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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