Dejong, Michael J
Dejong, Michael J is an individual health care provider with primary practice located at 1045 Gezon Pkwy Sw , Wyoming MI 49509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dejong, Michael J can be contacted via phone (616) 456-5311.Contact Information
Primary practice address
1045 Gezon Pkwy Sw
Wyoming MI 49509
Phone: (616) 456-5311
Fax: (616) 456-7955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301059493 | Michigan |
Profile Details
| NPI number | 1609857143 |
|---|---|
| LBN Legal business name | Dejong, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jul 13th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609857143 | NPPES |
| Michigan | Other | 0D16117 | BCBS |
| Michigan | MEDICAID | 3481167 | BCBS |
Popular Providers
-
Beane, Jaret A
2093 Health Drive Sw Suite 300, Wyoming MI 49519 -
Stracke, Joel David
5900 Byron Center Ave Sw , Wyoming MI 49519-9606 -
Johnson, Gregory W
2122 Health Dr Sw Ste 110 , Wyoming MI 49519-9698 -
Sevensma, Karlin Edith
1009 44Th St Sw Ste 101 , Wyoming MI 49509-4480 -
Shastri, Ravi K
2122 Health Dr Sw Ste 160 , Wyoming MI 49519-9402 -
Pihl, Kerent Dominique
1009 44Th St Sw Ste 101, Wyoming MI 49509-4480 -
Sherman, Stanley R
1045 Gezon Pkwy Sw , Wyoming MI 49509 -
Green, Joel Allan
1045 Gezon Pkwy Sw , Wyoming MI 49509-9542