Individual
JEREMIAH J DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1765 3 MILE RD NE UNIT 150319, GRAND RAPIDS, MI 49515-5014
(616) 272-3533
Mailing address
1765 3 MILE RD NE UNIT 150319, GRAND RAPIDS, MI 49515-5014
(616) 272-3533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019000
MI
Other
Enumeration date
07/20/2010
Last updated
07/31/2019
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