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Individual

JARED FERNSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
146 S CHARLES ST, ADRIAN, MI 49221-2556
(517) 366-5000
(517) 366-5002
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
(517) 366-5000
(517) 366-5002

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009961
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2020
Last updated
09/30/2020
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