Individual
RICHARD T JEFSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 W MAIN ST, KALAMAZOO, MI 49009-6114
(269) 372-8490
(269) 372-8473
Mailing address
6565 W MAIN ST, KALAMAZOO, MI 49009-6114
(269) 372-8490
(269) 372-8473
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301032154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4199553
—
MI
Enumeration date
03/29/2006
Last updated
07/08/2007
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