Individual
MRS. JENNIFER J. KOETJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
116 W COLBY ST STE D, WHITEHALL, MI 49461-1084
(231) 292-1240
(231) 292-1088
Mailing address
116 W COLBY ST STE D, WHITEHALL, MI 49461-1084
(231) 292-1240
(231) 292-1088
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002222
MI
Other
Enumeration date
08/02/2005
Last updated
01/21/2024
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