Individual
JONATHON LEE DOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
(269) 381-3810
Mailing address
847 QUARRY RD APT 208, CORALVILLE, IA 52241-2215
(616) 403-3135
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101022676
IA
2084P0800X
Psychiatry Physician
Primary
5101022676
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2012
Last updated
11/01/2016
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