Individual
JEFFREY B WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 W MITCHELL ST, STE 505, PETOSKEY, MI 49770-2275
(231) 487-2100
(231) 487-6049
Mailing address
560 W MITCHELL ST, STE 505, PETOSKEY, MI 49770-2275
(231) 487-2100
(231) 487-6049
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301078087
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105186504
—
MI
01
—
2902410571
BCBS MI PIN
MI
01
—
290B411070
BCBS MI GROUP PIN
MI
Enumeration date
05/01/2007
Last updated
07/17/2012
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