Individual
JAMIE L. CAUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 CHERRY ST SE, GRAND RAPIDS, MI 49503-4608
(616) 685-6756
Mailing address
245 STATE ST SE, STE 221, GRAND RAPIDS, MI 49503-4328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301080258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215156336
—
MI
Enumeration date
04/25/2007
Last updated
10/01/2009
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