Individual
JONAS P BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4830 BECKER DR, ALLENDALE, MI 49401-8616
(616) 252-3900
(231) 728-4789
Mailing address
4830 BECKER DR, ALLENDALE, MI 49401-8616
(616) 252-3900
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101020499
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N28430
GROUP PTAN
MI
Enumeration date
05/20/2013
Last updated
05/25/2023
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