Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESE A BIRKAM-JADE, PA-C
ActiveTHERESE A BIRKAM-JADE, PA-C is a Physician Assistant healthcare provider located in PORTAGE, Michigan. NPI 1124112982 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PORTAGE, MI
Registration Details
- NPI Number
- 1124112982
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (19.831460888796 yrs)
- Last Updated
- Nov 14, 2012
- License
-
5601004670 (MI)
Practice Information
- Address
-
6100 NEWPORT RDSUITE 100PORTAGE, MI, 490029235Browse MI providers · Browse ZIP 49002
- Phone
- 2693434679
- Fax
- 2693435929
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| MS. LUCETTA LYNNE LYFORD | PA-C | 1396749800 |
| MR. THOMAS JONES | RPA C | 1598700593 |
| MELISSA ANN DUSSELJEE | PA-C | 1861415002 |
| LESLIE A PRICE | PA-C | 1265441703 |
| ALLAN FAUST | PA-C | 1396851473 |
| JEFFRY SCOTT FREEMAN | PA | 1285745950 |
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.