Individual
AUDREY JANSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 JOHN ST STE M-273, KALAMAZOO, MI 49007-5360
(269) 381-0180
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009868
MI
363AS0400X
Surgical Physician Assistant
—
NY
Other
Enumeration date
09/06/2019
Last updated
11/27/2023
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