Individual
DR. JACQUELINE M FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11745 US HIGHWAY 23 S, OSSINEKE, MI 49766-9582
(989) 471-2156
(989) 471-5257
Mailing address
11745 US HIGHWAY 23 S, OSSINEKE, MI 49766-9582
(989) 471-2156
(989) 471-5257
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101009215
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1990638
—
MI
05
—
2888399
—
MI
Enumeration date
06/22/2006
Last updated
02/02/2021
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