Individual
DR. JON D PAGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(517) 487-5585
(517) 487-1129
Mailing address
1031 E SAGINAW ST, LANSING, MI 48906-5519
(517) 487-5585
(517) 487-1129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301054100
MI
207P00000X
Emergency Medicine Physician
4301054100
MI
207Q00000X
Family Medicine Physician
Primary
4301054100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383694638
TAX ID
MI
05
—
4636318
—
MI
Enumeration date
01/23/2007
Last updated
03/21/2023
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