Organization
JANE J JAWAHIR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SWISHER (BILLING)
(616) 235-2090
Entity
Organization
Contact information
Practice address
3181 PRAIRIE ST SW STE 112, GRANDVILLE, MI 49418-2076
(616) 235-2090
(616) 235-2099
Mailing address
PO BOX 120125, GRAND RAPIDS, MI 49528-0103
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1604115711
BCBS
MI
Enumeration date
06/19/2007
Last updated
08/22/2020
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