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1962090845
JEREMY PETZOLD
SAGINAW, MI
NPI
1962090845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010356)
Enumeration Date
2021-01-06
Last Update Date
2023-11-02
Business Address
JEREMY PETZOLD PA
3875 BAY RD STE 2S
SAGINAW, MI 48603-2423
Phone number: 989-583-5370
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Mailing Address
JEREMY PETZOLD PA
1447 N HARRISON ST
SAGINAW, MI 48602-4727
Phone number: 989-583-0000
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