Individual
JON MARKHAM VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5623 GULL RD STE 500, KALAMAZOO, MI 49048-1098
(269) 775-8031
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010691
MI
Other
Enumeration date
10/21/2021
Last updated
04/04/2023
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