Individual provider · Type 1 NPI

Jennifer J. Koetje, PA

Medical Physician Assistant · Whitehall, MI

NPI number 1912908997 Active

Practice location

116 W Colby St Ste D
Whitehall, MI 49461-1084

Fax (231) 292-1088

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601002222 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1912908997

Jennifer J. Koetje, PA's National Provider Identifier is 1912908997, issued on Aug 2, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Whitehall, MI. The record was last updated on Jan 21, 2024.