Individual
JEFFREY R OSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
770 RIVERSIDE AVE, SUITE 207, ADRIAN, MI 49221-1476
(517) 264-1922
(517) 263-6456
Mailing address
1500 GADY RD, ADRIAN, MI 49221-9807
(517) 264-1922
(517) 263-6456
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
50001098
OH
363AM0700X
Medical Physician Assistant
Primary
5601002855
MI
Other
Enumeration date
07/13/2005
Last updated
04/29/2008
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