Individual
JONATHAN PATRICK WINDELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 754-4691
(616) 754-3828
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 754-4691
(616) 754-3828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
43101070121
MI
208000000X
Pediatrics Physician
Primary
43101070121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4755865
—
MI
Enumeration date
05/20/2006
Last updated
07/22/2021
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