Most Relevant Information
Provider Data
| NPI Number: | 1003657362 |
| Provider Name: | JOEL WALKER DEJONGE |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/03/2024 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
800 S WASHINGTON AVE
SAGINAW
MI
486012551
Practice Location Phone/Fax
| Phone: | 9899078000 |
| Fax: |
Provider Mailing Location
1632 STONE ST.
SAGINAW
MI
48062
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |