Individual
DR. JEFFREY BERNARD CASAMENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 CHERRY ST SE, SUITE 202, GRAND RAPIDS, MI 49503-4607
(616) 459-3551
(616) 459-1060
Mailing address
245 CHERRY ST SE, SUITE 202, GRAND RAPIDS, MI 49503-4607
(616) 459-3551
(616) 459-1060
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
JC063636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3046021
—
MI
Enumeration date
07/26/2006
Last updated
03/21/2022
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