Individual
DR. JEDD JACK AUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-8060
(989) 356-7794
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-1000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301507428
MI
208VP0000X
Pain Medicine Physician
4301507428
MI
208VP0014X
Interventional Pain Medicine Physician
4301507428
MI
Other
Enumeration date
07/24/2018
Last updated
10/07/2025
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