DR. Jonathon P State, M.D.

NPI #1376595066 in Birmingham, Michigan

Provider Information

NPI Number: 1376595066
Entity Type: Individual
Name: DR. Jonathon P State, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 17, 2006
Last Updated: May 6, 2011

Practice Location

Address: 757 VINEWOOD
City: Birmingham
State: Michigan
ZIP Code: 48009
Phone: (248) 644-6029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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