Jordan Wyeth
NPI #1598348153 in Charlevoix, Michigan
Provider Information
- NPI Number
- 1598348153
- Entity Type
- Individual
- Name
- Jordan Wyeth
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 3, 2021
- Last Updated
- May 3, 2021
Practice Location
- Address
- 220 W GARFIELD AVE
- City
- Charlevoix
- State
- Michigan
- ZIP Code
- 49720-1631
- Phone
- (231) 547-6523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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