Jeremy Garnet Macnicol

NPI #1063258416 in Richmond, Michigan

Provider Information

NPI Number: 1063258416
Entity Type: Individual
Name: Jeremy Garnet Macnicol
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 5, 2024
Last Updated: Jul 5, 2024

Practice Location

Address: 400 STODDARD RD
City: Richmond
State: Michigan
ZIP Code: 48062-2505
Phone: (810) 392-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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