Individual
JIMMIE S WARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
125 WASHINGTON AVE, PRESCOTT, MI 48756-5117
(989) 873-3352
(989) 873-3949
Mailing address
1003 WOODSIDE AVE, ESSEXVILLE, MI 48732-1234
(989) 892-7722
(989) 892-7455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006560
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407194954
—
MI
Enumeration date
01/17/2013
Last updated
02/12/2013
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