Individual
MR. JASON MICHAEL METTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3250 N MONROE ST, MONROE, MI 48162-9297
(734) 384-3402
Mailing address
4540 GROVE ST, LUNA PIER, MI 48157-9735
(734) 735-1972
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106042
MI
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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