Individual
DAVID W JORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3051 KIESEL RD, BAY CITY, MI 48706-2449
(989) 778-2888
(989) 778-2887
Mailing address
3051 KIESEL RD, BAY CITY, MI 48706-2449
(989) 778-2888
(989) 778-2887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DJ066423
MI
207Q00000X
Family Medicine Physician
ME113785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME113785
FLORIDA MEDICAL LICENSE
FL
Enumeration date
08/07/2006
Last updated
12/12/2018
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