Organization
MICHAEL R. JARVIS, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R. JARVIS D.O. (PRESIDENT)
(616) 949-5342
Entity
Organization
Contact information
Practice address
4047 SALADIN DR SE, GRAND RAPIDS, MI 49546-6249
(616) 949-5342
(616) 949-0071
Mailing address
4047 SALADIN DR SE, GRAND RAPIDS, MI 49546-6249
(616) 949-5342
(616) 949-0071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MJ007129
MI
Other
Enumeration date
06/12/2006
Last updated
05/22/2013
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