Individual
DR. JONATHAN DOMINICK ALTERIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(800) 248-6777
Mailing address
PO BOX 30516, DEPT 4101, LANSING, MI 48909-8016
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101025492
MI
207P00000X
Emergency Medicine Physician
Primary
5101025492
MI
Other
Enumeration date
04/12/2016
Last updated
11/03/2020
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