Individual
JOHN JERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27150 RYAN RD, WARREN, MI 48092-5124
(586) 693-3821
Mailing address
PO BOX 1048, WARREN, MI 48090-1048
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301080979
MI
Other
Enumeration date
08/10/2005
Last updated
06/01/2010
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