Individual
DR. JOHN PATRICK EGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546
(616) 267-8244
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301114638
MI
207RP1001X
Pulmonary Disease Physician
036-136939
IL
207RP1001X
Pulmonary Disease Physician
Primary
4301114638
MI
Other
Enumeration date
04/06/2009
Last updated
05/20/2024
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