Individual
JONATHAN RYAN NIKUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5361 MCAULEY DR, YPSILANTI, MI 48197-1011
(734) 712-1300
(734) 712-1330
Mailing address
5361 MCAULEY DR, YPSILANTI, MI 48197-1011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011422
MI
Other
Enumeration date
10/04/2022
Last updated
02/16/2023
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