Individual
JORDON ALEXANDER WURST-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 INDIANA AVE NW, GRAND RAPIDS, MI 49504-6369
(616) 333-9116
Mailing address
44 INDIANA AVE NW, GRAND RAPIDS, MI 49504-6369
(616) 333-9116
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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