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NPI Code Detail

MEDICARE: DR. JAY PHILLIP HORWICH M.D.

MEDICARE:  DR. JAY PHILLIP HORWICH  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician4301071215MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205921251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY PHILLIP HORWICH M.D.
Provider Business Mailing Address
First Line : 52375 N MAIN ST
Second Line :
City : MATTAWAN
State : MI
Zip : 49071-9332
Country : US
Telephone Number : 269-668-6282
Fax Number :
Provider Business Practice Location Address
First Line : 52375 N MAIN ST
Second Line :
City : MATTAWAN
State : MI
Zip : 49071-9332
Country : US
Telephone Number : 269-668-6282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JAY PHILLIP HORWICH M.D.” Practice Location

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