MARTY JAY MORTIMER

ROCKFORD, MI
NPI1689732810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006939)
Enumeration Date2006-12-04
Last Update Date2021-02-18
Business Address
MARTY JAY MORTIMER PA-C
8501 MEADOW CRK
ROCKFORD, MI 49341-7524
Phone number: 616-267-7884
Mailing Address
MARTY JAY MORTIMER PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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