Individual
DR. JONATHON MICHAEL BLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
601 JOHN ST STE 100, KALAMAZOO, MI 49007-5317
(269) 373-1222
Mailing address
18854 GREENWOOD CT, SPRING LAKE, MI 49456-1169
(616) 502-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101022196
MI
207R00000X
Internal Medicine Physician
5101026876
MI
207RC0000X
Cardiovascular Disease Physician
Primary
5101026876
MI
Other
Enumeration date
04/22/2016
Last updated
08/02/2022
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