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Individual

JEROMY MICHAEL BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
656 E MICHIGAN ST, FARWELL, MI 48622-9476
(989) 289-3371
Mailing address
656 E MICHIGAN ST, FARWELL, MI 48622-9476
(989) 289-3371

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
311ZA0620X
MI

Other

Enumeration date
06/11/2019
Last updated
06/11/2019
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