Individual
JON A SANGEORZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 W MITCHELL ST, SUITE 170, PETOSKEY, MI 49770-2275
(231) 487-3590
(231) 487-3579
Mailing address
560 W MITCHELL ST, SUITE 170, PETOSKEY, MI 49770-2275
(231) 487-3590
(231) 487-3579
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301054336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4758150
—
MI
Enumeration date
12/02/2005
Last updated
10/05/2010
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