NPI 1003512955
Jerrry Indra, PRC
Practice location
- Address
- 765 E Hamilton Ave, Flint, MI 48505-4707
- Phone
- (810) 233-5340
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1003512955
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Feb 2023
- Record last updated
- 2 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.