Carrie J Jerow MPAS, PA-C

NPI 1033190285 - Physician Assistant - 363A00000X

NPI Details
NPI 1033190285
Gender Female
Enumeration Date 11/07/2005
Last Updated 12/30/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
100 MICHIGAN ST NE
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 391-3431
Fax (616) 391-2783
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601003623
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According to our database, Carrie J Jerow MPAS, PA-C NPI is 1033190285, taxonomy code is 363A00000X and license number is 5601003623, license state is located at Michigan. Carrie J Jerow MPAS, PA-C physically located at 100 Michigan St Ne, Grand Rapids MI, 49503-2560. NPI Number Carrie J Jerow MPAS, PA-C has the Individual type.

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1033190285 NPI number is provided on an as is basis without warranty of any kind. 1033190285 is maintained by the National Plan & Provider Enumeration System. The contents of Carrie J Jerow MPAS, PA-C are for informational purposes only.