Individual
JESSE SIWEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 W LAKE ST STE 3, TAWAS CITY, MI 48763-5101
(989) 984-6075
(989) 305-6038
Mailing address
540 W LAKE ST STE 3, TAWAS CITY, MI 48763-5101
(989) 984-6075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018768
MI
Other
Enumeration date
08/02/2018
Last updated
01/08/2021
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