Individual
JASON HAROLD CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 LAKE DR SE, SUITE 305, GRAND RAPIDS, MI 49546-8292
(616) 267-8860
(616) 267-8442
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35093031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208414409
—
MO
Enumeration date
05/06/2006
Last updated
10/29/2013
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