Individual
JORDAN A PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5933
Mailing address
1004 MURRAY ST, GRAND BLANC, MI 48439-9385
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5151014194
MI
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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