Jared Seth Bortman MD

NPI 1023182037 - Internal Medicine - 207R00000X

NPI Details
NPI 1023182037
Gender Male
Enumeration Date 11/20/2006
Last Updated 09/26/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
264 W MAPLE RD
SUITE 200
TROY MI, 48084-5458, US
Phone (248) 273-9930
Fax
Business Location
264 WEST MAPLE
SUITE 200 GASTROINTESTINAL SPECIALISTS PC
TROY MI, 48084-5435, US
Phone (248) 273-9930
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Washington
License Number ML20008789
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According to our database, Dr. Jared Seth Bortman MD NPI is 1023182037, taxonomy code is 207R00000X and license number is ML20008789, license state is located at Washington. Jared Seth Bortman MD physically located at 264 W Maple Rd, Troy MI, 48084-5458. NPI Number Jared Seth Bortman MD has the Individual type.

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1023182037 NPI number is provided on an as is basis without warranty of any kind. 1023182037 is maintained by the National Plan & Provider Enumeration System. The contents of Jared Seth Bortman MD are for informational purposes only.