JEREMY MICHAELIS

EAST CHICAGO, IN
NPI1316611361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71011400A)
Enumeration Date2021-08-03
Last Update Date2022-09-22
Business Address
JEREMY MICHAELIS NP-C
2323 BROADWAY ST
EAST CHICAGO, IN 46312
Phone number: 219-354-8910
Mailing Address
JEREMY MICHAELIS NP-C
1001 STURDY RD
VALPARAISO, IN 46383-4126
Phone number: 219-462-7173