Individual
DENNIS A JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Mailing address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301036495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2602070
—
MI
01
—
CK6240
RAILROAD MEDICARE
MI
Enumeration date
01/19/2006
Last updated
12/15/2014
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