Individual
JORDAN BULTSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
CMED 1632 STONE ST., SAGINAW, MI 48602
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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