Individual
JONATHAN JERSHAUN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
317 E GRAND RIVER RD, LAINGSBURG, MI 48848-8742
(517) 651-2801
(517) 651-2310
Mailing address
317 E GRAND RIVER RD, LAINGSBURG, MI 48848-8742
(517) 651-2801
(517) 651-2310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301098783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437447414
—
MI
Enumeration date
07/12/2011
Last updated
04/04/2017
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