NPI | 1154942266 |
---|---|
Professional Name | JORDAN DEMCHUK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MI 4301509394) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351046347) |
208M00000X Hospitalist (Licence: VA 0101286442) | |
Enumeration Date | 2020-04-29 |
Last Update Date | 2025-08-07 |