THERESE BIRKAM-JADE, PA-C
Physician Assistant
Active
Individual
NPI: 1124112982
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601004670 (MI) |
Frequently Asked Questions
NPI 1124112982 is the National Provider Identifier for THERESE BIRKAM-JADE, PA-C, a Physician Assistant provider located in Portage, MI. This NPI was enumerated on October 3, 2006.
THERESE BIRKAM-JADE, PA-C practices at 6100 NEWPORT RD, SUITE 100, Portage, MI 49002.
Quick Facts
- NPI
- 1124112982
- Type
- Individual
- Enumerated
- Oct 3, 2006
- Last Updated
- Nov 14, 2012
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