Dr. Jack Lee Medemar
Dentist - General Practice
G 4221 Corunna Road
Flint
, Michigan 48532
Dr. Jack Lee Medemar
Dentist - General Practice
G 4221 Corunna Road
Flint
, Michigan 48532
(810) 732-9356
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Jack Lee Medemar
- 4221 Corunna Rd
- Flint, MI
- Zip : 48532-4316
- Fax : (810) 732-9356
- Phone : (810) 732-8020
Second Address
- Dr. Jack Lee Medemar
- G 4221 Corunna Road
- Flint, MI
- Zip : 48532
- Fax : (810) 732-9356
- Phone : (810) 732-8020
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FAQs
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Is Dr. Jack Lee Medemar a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 13484 | MI |
| Y | 213EG0000X | General Practice | 13484 | MI |
National Provider Identifier
| NPI | 1003877952 |
|---|---|
| Provider Name | Dr. Jack Lee Medemar |
| First Address | Flint, MI 48532-4316 |
| Second Address | Flint, MI 48532 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2006 |
| Last Update Date | 11/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.