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Individual

JAMES JEAKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14700 PARK AVE, CHARLEVOIX, MI 49720-1930
(231) 547-4477
(231) 547-4753
Mailing address
14700 PARK AVE, CHARLEVOIX, MI 49720-1930
(231) 547-4477
(231) 547-4753

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301054830
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3196127
MI
01
4301054830
BC LICENSE NUMBER
MI
01
JJ054830
BLUE SHIELD LICENSE
MI
Enumeration date
10/02/2006
Last updated
12/21/2020
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