Mitchell H Dejonge, MD - Pediatrics in Grand Rapids, MI

Mitchell H Dejonge, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in Grand Rapids, Michigan. Mitchell H Dejonge is licensed to practice in Michigan (license number 4301065196) and his current practice location is 100 Michigan St Ne, Mc 845 Attn, Grand Rapids, Michigan. He can be reached at his office (for appointments etc.) via phone at (616) 391-1714.

NPI number for Mitchell H Dejonge is 1740252766 and his current mailing address is 100 Michigan St Ne, Mc 035, Grand Rapids, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740252766.

Contact Information

Mitchell H Dejonge, MD
100 Michigan St Ne, Mc 845 Attn,
Grand Rapids, MI 49503-2560
(616) 391-1714
(616) 391-1332

Map and Direction




Physician's Profile

Full NameMitchell H Dejonge
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740252766
  • Provider Enumeration Date: 02/03/2006
  • Last Update Date: 06/13/2011

Medical Identifiers

Medical identifiers for Mitchell H Dejonge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740252766NPI-NPPES
1558407189OtherMIGROUP NPI
4173501MedicaidMI
0630868OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 4301065196 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mitchell H Dejonge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mitchell H Dejonge, MD
100 Michigan St Ne, Mc 035,
Grand Rapids, MI 49503-2560

Ph: (616) 391-1714
Mitchell H Dejonge, MD
100 Michigan St Ne, Mc 845 Attn,
Grand Rapids, MI 49503-2560

Ph: (616) 391-1714

Reviews and Comments


Pediatrics Doctors in Grand Rapids, MI

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Phone: 616-949-4465    Fax: 616-949-6191

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