Individual
JACOB JOSEPH WARDACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3434 M 119 STE C, HARBOR SPRINGS, MI 49740-9373
(231) 348-9900
Mailing address
PO BOX 655, ALPENA, MI 49707-0655
(231) 348-9900
(989) 358-3780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704307615
MI
Other
Enumeration date
09/24/2019
Last updated
09/04/2025
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