Jamie Walderzak Valid NPI

Individual provider · Physician Assistant · Harrison, MI

NPI

1881178465

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

5601008828 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2018-09-20

Last updated

2018-09-20