Individual
JORDAN RESSEGUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 PARK FOREST DR, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
Mailing address
4100 PARK FOREST DR, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273376
MI
Other
Enumeration date
04/13/2015
Last updated
07/07/2015
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