Individual
MR. JEFFREY S REWITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1450 FARR RD, NORTON SHORES, MI 49444-9738
(231) 739-7606
(231) 830-9896
Mailing address
2144 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-6117
(616) 281-0666
(616) 281-0752
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001389
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1266510004
ADMINISTAR
MI
05
—
4362106
—
MI
01
—
480033384
RAILROAD MEDICARE
MI
Enumeration date
06/30/2006
Last updated
01/05/2022
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