Individual
DR. JAY EDGAR DUJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
(231) 935-2424
Mailing address
1221 SIXTH ST STE 300, TRAVERSE CITY, MI 49684-2360
(231) 935-2400
(231) 935-2424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
206790
LA
208600000X
Surgery Physician
Primary
4301086439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356461
—
LA
01
—
348363YH54
MEDICARE - PTAN
LA
Enumeration date
03/21/2008
Last updated
05/10/2021
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