Individual
THOMAS CHARLES JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 S WASHINGTON AVE, SAGINAW, MI 48601-2551
(989) 793-7220
(989) 793-7482
Mailing address
4677 TOWNE CENTRE RD, SUITE 302, SAGINAW, MI 48604-2846
(989) 793-7220
(989) 793-7482
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002529
MI
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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