Individual
JAMIE PHILLIPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 726-3511
Mailing address
125 COLLEGE AVE SE APT 5, GRAND RAPIDS, MI 49503-4474
(517) 505-2180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007253
MI
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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