person
Jacquelyn Alberta Granquist, PA-C
Surgical Physician Assistant in Iron Mountain, Michigan
NPI 1780760744

Jacquelyn Alberta Granquist is a Surgical Physician Assistant based in Kingsford, MI and is specialized in Surgical. Jacquelyn Alberta Granquist practices in Iron Mountain, MI and has the professional credentials of PA-C. The NPI Number for Jacquelyn Alberta Granquist is 1780760744 and holds a License No. 5601004834 (Michigan).

The current practice location address for Jacquelyn Alberta Granquist is 325 E H St, Iron Mountain, MI and can be reached out via phone at 906-774-3300.

Location: 325 E H St, Iron Mountain, MI, 49802-1221
person
Provider Profile Details
NPI Number
1780760744
Provider Name
Jacquelyn Alberta Granquist
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
325 E H St, Iron Mountain, MI, 49802-1221
Phone Number
906-774-3300
Fax Number
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
325 E H St
City
State
Zip
49801-4760
Phone Number
906-774-3300
Fax Number
person
Provider Business Mailing Address Details
Address
325 E H St
City
State
Zip
49801-4760
Phone Number
906-774-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
5601004834 (Michigan)
Definition
Definition to come...
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