Organization
CITY OF EAST JORDAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD JAY PECK PARAMEDIC IC AAS (DIRECTOR)
(231) 536-7881
Entity
Organization
Contact information
Practice address
201 MAIN STREET, EAST JORDAN, MI 49727
(231) 536-7881
(231) 536-2785
Mailing address
201 MAIN STREET, PO BOX 499, EAST JORDAN, MI 49727
(231) 536-7881
(231) 536-2785
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
151003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001914
—
MI
Enumeration date
01/02/2007
Last updated
11/10/2009
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