Individual
JEFFREY ALAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2627 E BELTLINE AVE SE STE 220, GRAND RAPIDS, MI 49546-5937
(616) 250-5198
Mailing address
13200 100TH ST SE, ALTO, MI 49302-9260
(910) 364-8894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008732
MI
Other
Enumeration date
09/10/2009
Last updated
10/04/2023
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