Individual
DR. JASON PETER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503-2530
(616) 267-2400
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301102950
MI
2080P0210X
Pediatric Nephrology Physician
Primary
4301102950
MI
Other
Enumeration date
06/17/2013
Last updated
05/26/2022
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