Individual
JONTE DEVON JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301512743
MI
207L00000X
Anesthesiology Physician
71972
MN
207R00000X
Internal Medicine Physician
31574
MN
Other
Enumeration date
04/30/2021
Last updated
07/07/2025
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