Individual
DR. JONATHAN PATRICK EGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 367-2440
Mailing address
25460 SAINT JAMES, SOUTHFIELD, MI 48075-1247
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301094031
MI
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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