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Individual

JEREMY LOUIS PASCOTTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O,

Contact information

Practice address
123 LANSING ST, SUITE 2, CHARLOTTE, MI 48813-1696
(517) 543-7976
Mailing address
123 LANSING ST, SUITE 2, CHARLOTTE, MI 48813-1696
(517) 543-7976

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101018201
MI

Other

Enumeration date
06/23/2009
Last updated
07/15/2014
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