Individual
JEFFREY A CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MICHIGAN NE, SUITE 4150, GRAND RAPIDS, MI 49503-2027
(616) 267-2600
(616) 267-2601
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301089308
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
4301089308
MI
Other
Enumeration date
02/01/2006
Last updated
02/22/2021
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