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Organization

ARTHUR R JEYNES DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARTHUR RALEIGH JEYNES DPM (PRESIDENT)
(231) 779-3668
Entity
Organization

Contact information

Practice address
8805 PINE RIDGE DRIVE, CADILLAC, MI 49601-2373
(231) 779-3668
(231) 779-4496
Mailing address
8805 PINE RIDGE DRIVE, CADILLAC, MI 49601-2373
(231) 779-3668
(231) 779-4496

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
AJ002019
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129572
PREFERRED CHOICE
MI
05
4280118
MI
01
480H310540
BLUE CROSS GROUP
MI
01
4858350010
BLUE CROSS
MI
Enumeration date
05/15/2007
Last updated
03/03/2008
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