Individual
DR. JOHN KAORU GEDDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
18325 E 10 MILE RD STE 300, ROSEVILLE, MI 48066-4990
(586) 447-4000
(586) 447-4008
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1952
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351040074
MI
Other
Enumeration date
06/09/2018
Last updated
04/27/2022
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