Individual
DR. JORDAN RAY SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
401 HALL ST SW STE 263, GRAND RAPIDS, MI 49503-4988
(616) 719-0919
(616) 719-0933
Mailing address
401 HALL ST SW STE 263, GRAND RAPIDS, MI 49503-4988
(616) 719-0919
(616) 719-0933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101019819
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
5101019819
MI
Other
Enumeration date
07/17/2012
Last updated
03/10/2026
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