Individual
DR. MICHAEL R. JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254100154
BCBS OF MICHIGAN
MI
05
—
308536011
—
MI
01
—
5410015
BLUE CARE NETWORK
MI
Enumeration date
06/05/2006
Last updated
05/07/2025
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