Individual
JEFFREY DUFRESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 LAFAYETTE AVE. SE, GRAND RAPIDS, MI 49503
(616) 685-6922
Mailing address
300 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4692
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301113397
MI
207Q00000X
Family Medicine Physician
Primary
4351032393
MI
Other
Enumeration date
07/07/2017
Last updated
01/23/2019
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