Individual provider · Type 1 NPI

Jeffrey R. Osworth, PA

Medical Physician Assistant · Adrian, MI

NPI number 1861490831 Active

Practice location

770 Riverside Ave, Suite 207
Adrian, MI 49221-1476

Fax (517) 263-6456

Mailing address

1500 Gady Rd
Adrian, MI 49221-9807

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X50001098 (OH)
Medical Physician Assistant Primary 363AM0700X5601002855 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1861490831

Jeffrey R. Osworth, PA's National Provider Identifier is 1861490831, issued on Jul 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Adrian, MI. The record was last updated on Apr 29, 2008.