Individual
JASON MECHENBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6220 W MAIN ST STE B, KALAMAZOO, MI 49009-8925
(269) 276-4744
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP-03548
NM
363LF0000X
Family Nurse Practitioner
Primary
4704371702
MI
363LF0000X
Family Nurse Practitioner
CNP-03548
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54174741
—
NM
Enumeration date
04/23/2018
Last updated
06/16/2021
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