Individual
JESSICA M PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
718 N SAINT JOSEPH ST UNIT K1, SUTTONS BAY, MI 49682-8422
(231) 386-0088
(855) 537-4321
Mailing address
718 N SAINT JOSEPH ST UNIT K1, SUTTONS BAY, MI 49682-8422
(231) 386-0088
(855) 537-4321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101015389
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080A760010
BCBS
MI
05
—
114789110
—
MI
01
—
70-0-A7-6020-0
BLUE CROSS BLUE SHIELD BLUE CARE NETWORK PIN
MI
05
—
774789110
—
MI
01
—
JP015389
BLUE CROSS BLUE SHIELD BLUE CARE NETWORK LICENSE
MI
Enumeration date
04/20/2006
Last updated
07/15/2024
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