Doctor Name: | JUDITH A BJORK |
NPI Number: | 1245213511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 1028 033 |
Business Practice Address: | 325 East H Street Oscar G. Johnson Va Medical Center Iron Mountain, MI - 498014792 |
Business Phone Number: | 9067743300 |
Business Fax Number: | |
Mailing Address: | 325 E H St, IRON MOUNTAIN |
State: | MI |
Postal Code: | 498014760 |
Phone Number: | 9067743300 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2005 |
NPI Last Update Date: | 07/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1028 033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |