Individual
DR. JONATHAN ROSS DADURIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 S KALAMAZOO MALL, STE 204, KALAMAZOO, MI 49007
(269) 343-3900
Mailing address
125 S KALAMAZOO MALL, STE 204, KALAMAZOO, MI 49007
(269) 343-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301102882
MI
Other
Enumeration date
05/20/2013
Last updated
06/30/2016
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