Individual
JEFFREY LEON MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
33135
MN
207ZP0101X
Anatomic Pathology Physician
Primary
4301087086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172315400
—
MN
05
—
4830342
—
MI
Enumeration date
01/10/2006
Last updated
08/05/2019
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