Therese A Birkam-Jade, PA-C

NPI #1124112982 in Portage, Michigan

Provider Information

NPI Number: 1124112982
Entity Type: Individual
Name: Therese A Birkam-Jade, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 3, 2006
Last Updated: Nov 14, 2012

Practice Location

Address: 6100 NEWPORT RD
Address 2: SUITE 100
City: Portage
State: Michigan
ZIP Code: 49002-9235
Phone: (269) 343-4679

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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