Individual
DR. JAY M LONSWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
577 MICHIGAN AVE STE 201, HOLLAND, MI 49423-4911
(616) 392-1816
Mailing address
577 MICHIGAN AVE STE 201, HOLLAND, MI 49423-4911
(616) 392-1816
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101013608
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4506114
—
MI
05
—
4506153
—
MI
05
—
4506171
—
MI
Enumeration date
08/09/2006
Last updated
07/23/2024
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