Individual
DR. JEROME ARTHUR CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 LINDEN ST, SUITE 2, BIG RAPIDS, MI 49307-1879
(231) 796-6721
(231) 796-1080
Mailing address
14875 TOMAHAWK LANE, BIG RAPIDS, MI 49307
(231) 796-2417
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
JC026854
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024277
—
MI
Enumeration date
07/31/2006
Last updated
07/08/2007
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