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Individual

JEREMY PETZOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3875 BAY RD STE 2S, SAGINAW, MI 48603-2423
(989) 583-5370
(989) 583-1872
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-0000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010356
MI

Other

Enumeration date
01/06/2021
Last updated
11/02/2023
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