Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROMY LEE BALDUF, PA-C, RDN
Active Sole ProprietorJEROMY LEE BALDUF, PA-C, RDN is a Physician Assistant healthcare provider located in OTTAWA LAKE, Michigan. NPI 1003561309 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OTTAWA LAKE, MI
Registration Details
- NPI Number
- 1003561309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2022 (4.4871710066891 yrs)
- Last Updated
- Feb 15, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
6400 LEORA LNOTTAWA LAKE, MI, 492679627Browse MI providers · Browse ZIP 49267
- Phone
- 4193566458
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.