Individual
MRS. MICHAEL GABRIELLE JASKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
870 COLFAX AVENUE, BENTON HARBOR, MI 49022
(855) 869-6900
(269) 925-6370
Mailing address
50 INDUSTRIAL PARK ROAD, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704258888
IN
Other
Enumeration date
07/30/2007
Last updated
12/05/2022
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