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Individual

DR. JASON PATRICK COLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546-8292
(616) 391-3759
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097314
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301097314
MI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
4301097314
MI

Other

Enumeration date
08/31/2006
Last updated
04/27/2022
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