Individual
DR. JONATHAN JAMES DARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4211 PARKWAY PL SW, GRANDVILLE, MI 49418-2695
(616) 222-3700
Mailing address
300 68TH ST SE, HENRY FORD HOSPITAL, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
100317
MT
2084P0800X
Psychiatry Physician
1580
WI
2084P0800X
Psychiatry Physician
Primary
4301091816
MI
Other
Enumeration date
05/20/2008
Last updated
03/10/2023
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