Individual
JONATHON BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 E WASHINGTON ST, IONIA, MI 48846-2202
(616) 523-1630
Mailing address
4100 STILLBROOK LN, DEWITT, MI 48820-7889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008815
MI
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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