Individual
DR. JOCELYN M POULIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9415 TAYLORS TURN, STANWOOD, MI 49346-8812
(231) 834-0444
Mailing address
9415 TAYLORS TURN, STANWOOD, MI 49346-8812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049722
MI
207R00000X
Internal Medicine Physician
JP049722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101318392
BCBS
MI
01
—
1750472734
GROUP NPI NUMBER
MI
01
—
381916607
TAX ID
MI
05
—
4264320
—
MI
Enumeration date
11/07/2006
Last updated
05/02/2022
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