Individual
JORDAN MICHAEL BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 463-1101
Mailing address
1020 W SUPERIOR ST, ALMA, MI 48801-1418
(989) 621-2620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007526
MI
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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