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1700418712
JACOB SCOTT WELLNITZ
SAULT SAINTE MARIE, MI
NPI
1700418712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704311384)
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
JACOB SCOTT WELLNITZ FNP-BC
500 OSBORN BLVD
SAULT SAINTE MARIE, MI 49783-1822
Phone number: 906-635-4460
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Mailing Address
JACOB SCOTT WELLNITZ FNP-BC
2890 BURTCH RD
GRASS LAKE, MI 49240-9416
Phone number: 906-430-7448
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