| Robert Dejonge Do Pc | |
|
350 Northland Dr Ne Rockford MI 49341-1401 | |
| (616) 866-4474 | |
| (616) 866-4476 |
| Full Name | Robert Dejonge Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 350 Northland Dr Ne, Rockford, Michigan |
| Authorized Official Name and Position | Robert Dejonge (PRESIDENT) |
| Authorized Official Contact | 6168664474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Dejonge Do Pc 350 Northland Dr Ne Rockford MI 49341-1401 Ph: (616) 866-4474 | Robert Dejonge Do Pc 350 Northland Dr Ne Rockford MI 49341-1401 Ph: (616) 866-4474 |
| NPI Number | 1508077165 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508077165 | NPI | - | NPPES |
| 111719945 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007920 (Michigan) | Primary |
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