Individual
DR. JEFFREY SCOTT DEWEERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
710 TEMPLE ST, MASON, MI 48854
(517) 244-1000
(517) 604-6154
Mailing address
710 TEMPLE ST, MASON, MI 48854-8624
(517) 244-1000
(517) 604-6154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013371
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4510844
—
MI
01
—
P0027587
RR MEDICARE
MI
Enumeration date
05/26/2006
Last updated
10/02/2019
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