SearchMichigan1223P0221X

Jody Wrathall, D.D.S., M.S

NPI 1306142815 · on the registry since 2011 · sole proprietor

Practice

Address
3020 Old Centre Rd
Portage, MI 49024
Phone
(269) 328-8016
Fax
(269) 323-8524
Organisation at this address
Cbmi2 Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 6121 S. Westnedge Ave., Portage, MI

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
122300000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan