Individual
JORDAN MICHAEL BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 218-0300
Mailing address
4812 N 19TH ST, BISMARCK, ND 58503-5687
(701) 218-0300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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