Individual
TAYLOR JON HUIZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 975-1845
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5101026673
MI
207P00000X
Emergency Medicine Physician
Primary
5101026673
MI
Other
Enumeration date
03/31/2019
Last updated
01/22/2025
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