Individual
MR. JONATHAN ALVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4294 LAUREL DR, LAKE ODESSA, MI 48849-8430
(616) 374-7660
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011075
MI
Other
Enumeration date
02/22/2022
Last updated
06/20/2022
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