Individual
JODY WERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1820 SHAFFER ST, KALAMAZOO, MI 49048-1656
(269) 381-7136
(269) 381-6665
Mailing address
601 JOHN ST, BOX 39, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005918
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853901350
BCBS
MI
Enumeration date
01/21/2011
Last updated
04/13/2022
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