Individual
JORDAN THOMAS FELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2900 COLLINS RD, LANSING, MI 48910-8394
(517) 975-6000
Mailing address
2900 COLLINS RD, LANSING, MI 48910-8394
(517) 975-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58.031344
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151016918
MI
Other
Enumeration date
04/06/2020
Last updated
06/12/2024
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