person
Jesse Kogelman, PA-C
Medical Physician Assistant in Traverse City, Michigan
NPI 1144503491

Jesse Kogelman is a Medical Physician Assistant based in Traverse City, MI and is specialized in Medical. Jesse Kogelman practices in Traverse City, MI and has the professional credentials of PA-C. The NPI Number for Jesse Kogelman is 1144503491 and holds a License No. 5601006005 (Michigan).

The current practice location address for Jesse Kogelman is 550 Munson Ave, Traverse City, MI and can be reached out via phone at 231-935-8717 and via fax at 231-935-9230. You can also correspond with Jesse Kogelman through the mailing address at 550 MUNSON AVE, TRAVERSE CITY, MI - 49686-3580 (mailing address contact number: 231-935-8717).

Location: 550 Munson Ave, Traverse City, MI, 49686-3580
person
Provider Profile Details
NPI Number
1144503491
Provider Name
Jesse Kogelman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
550 Munson Ave, Traverse City, MI, 49686-3580
Phone Number
231-935-8717
Fax Number
231-935-9230
Provider Enumeration Date
09/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
550 Munson Ave
City
State
Zip
49686-3580
Phone Number
231-935-8717
Fax Number
231-935-9230
person
Provider Business Mailing Address Details
Address
550 Munson Ave
City
State
Zip
49686-3580
Phone Number
231-935-8717
Fax Number
231-935-9230
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601006005 (Michigan)
Definition
Definition to come...
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