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Individual

DR. DON JAY WALBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
125 S KALAMAZOO MALL, SUITE 204, KALAMAZOO, MI 49007-4832
(269) 343-3900
(269) 343-5640
Mailing address
125 S KALAMAZOO MALL, SUITE 204, KALAMAZOO, MI 49007-4832
(269) 343-3900
(269) 343-5640

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101009004
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11/2698492
MI
05
11/2754180
MI
05
11/4687068
MI
Enumeration date
06/28/2006
Last updated
03/25/2010
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