Individual
MR. JACK D KING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 N MAIN ST, IMLAY CITY, MI 48444-1151
(810) 937-9353
Mailing address
440 N MAIN ST, IMLAY CITY, MI 48444-1151
(810) 937-9353
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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