Individual
JOHN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901601996
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D13854
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4301510733
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
71444
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D13854
MN
Other
Enumeration date
04/24/2017
Last updated
03/23/2026
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