Individual
JAMIE WALDERZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N CLARE AVE, HARRISON, MI 48625-8176
(989) 539-4434
Mailing address
815 N CLARE AVE, HARRISON, MI 48625-8176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008828
MI
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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