Individual
JAMIE LYN HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2680 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-2400
(269) 324-0450
Mailing address
2680 W CENTRE AVE, PORTAGE, MI 49024-4828
(269) 324-2400
(269) 324-0450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101019796
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101019796
MI
Other
Enumeration date
05/04/2012
Last updated
11/27/2023
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