Individual
JASON UMFLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
(616) 267-2500
(616) 267-2501
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301085476
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M74460086
MEDICARE ID
MI
05
—
1114993474
—
MI
Enumeration date
02/27/2006
Last updated
07/17/2026
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