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NPI Code Detail

MEDICARE: JEROME CZINDER

MEDICARE: JEROME CZINDER
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
1376J00000XHomemaker

General Provider Information

NPI Number : 1295595213
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEROME CZINDER
Provider Business Mailing Address
First Line : 715 FERN ST APT 4
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-3460
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1667 BAY HILL TER
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-5650
Country : US
Telephone Number : 231-649-7388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2024
Last Update Date : 03/19/2024

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Directions to “ JEROME CZINDER ” Practice Location

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