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Individual

DR. JERROLD S FALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 JOHN ST, SUITE M302, KALAMAZOO, MI 49007-5341
(269) 276-0000
(269) 276-0001
Mailing address
601 JOHN ST, SUITE M302, KALAMAZOO, MI 49007-5341
(269) 276-0000
(269) 276-0001

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036491
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036491
MEDICAL LICENSE NUMBER
MI
01
1103911681
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/27/2006
Last updated
11/19/2014
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