Individual provider · Type 1 NPI

Jessica E. Paonessa, MD

Urology Physician · Traverse City, MI

NPI number 1386760122 Active

Practice location

1221 Sixth St Ste 100
Traverse City, MI 49684

Fax (231) 935-0334

Other practice locations

  • 4900 Broad Rd, Syracuse, NY 13215 · (315) 492-3700

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000X274692 (NY)
Urology Physician 208800000X01071233A (IN)
Urology Physician Primary 208800000X4301113807 (MI)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1386760122

Jessica E. Paonessa, MD's National Provider Identifier is 1386760122, issued on Mar 22, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Traverse City, MI. The record was last updated on Sep 13, 2021.