JADE D SMALL

SAULT SAINTE MARIE, MI
NPI1023304417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601006060)
Enumeration Date2011-06-23
Last Update Date2011-06-23
Business Address
-- JADE D SMALL P.A.
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3740
Phone number: 906-632-5200
Mailing Address
-- JADE D SMALL P.A.
2864 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3740
Phone number: 906-632-5200