Provider Information for 1437883394
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JORDAN BRINKER
Other Names:Former Name:JORDAN MCGINNSex: Female
NPI: 1437883394
Last Updated: 2022-07-14
Certification Date: 2022-07-14
Certification Date: 2022-07-14
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1437883394 | ||||||||
| Enumeration Date | 2022-07-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5500 ARMSTRONG RD BATTLE CREEK, MI 49037-7314 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 5500 ARMSTRONG RD BATTLE CREEK, MI 49037-7314 United States Phone: 269-223-0913 | Fax: | ||||||||
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