Individual provider · Type 1 NPI

Audrey Jagt

Other Specialist/Technologist · Grand Rapids, MI

NPI number 1154679348 Active

Practice location

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336

Call (616) 940-0040 Map

Mailing address

3525 Pratt Lake Ave SE
Lowell, MI 49331-9376

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

482 other providers at this address

Other other specialist/technologist providers in Grand Rapids

See all in Grand Rapids →

About NPI 1154679348

Audrey Jagt's National Provider Identifier is 1154679348, issued on Aug 21, 2012. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 21, 2012.