Individual
JEWELS GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3803 ELIZABETH LAKE RD, WATERFORD, MI 48328-3017
(248) 221-7733
Mailing address
3803 ELIZABETH LAKE RD, WATERFORD, MI 48328-3017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
09/21/2019
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