Individual
MICHAEL DOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 RAYBROOK ST SE STE 100, GRAND RAPIDS, MI 49546-5782
(616) 235-5101
(616) 949-9020
Mailing address
8214 PFEIFFER FARMS DR SW, BYRON CENTER, MI 49315-8288
(616) 235-5100
(616) 235-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301107340
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301107340
MI
208000000X
Pediatrics Physician
4301107340
MI
Other
Enumeration date
06/17/2015
Last updated
02/08/2023
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