Individual
JEDIDIAH JOHN SCHUYTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 391-3139
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011571
MI
Other
Enumeration date
01/10/2023
Last updated
04/03/2023
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