MR. Jack D King III

NPI #1477916450 in Imlay City, Michigan

Provider Information

NPI Number: 1477916450
Entity Type: Individual
Name: MR. Jack D King III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 29, 2016
Last Updated: Mar 29, 2016

Practice Location

Address: 440 N MAIN ST
City: Imlay City
State: Michigan
ZIP Code: 48444-1151
Phone: (810) 937-9353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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