Individual
JONATHON CREARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LAFAYETTE AVE SE, SUITE 4000, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
Mailing address
300 LAFAYETTE AVE SE, SUITE 4000, GRAND RAPIDS, MI 49503-4692
(616) 685-6922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301110285
MI
207Q00000X
Family Medicine Physician
Primary
4351037367
MI
Other
Enumeration date
07/13/2016
Last updated
01/17/2019
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