Individual
HANS U JUTTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-5461
Mailing address
PO BOX 646, GRAYLING, MI 49738-0646
(989) 348-1040
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301086706
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4890476
—
MI
Enumeration date
07/16/2006
Last updated
08/24/2007
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