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Contact Information

MITCHELL H DEJONGE, MD
100 MICHIGAN ST NE
MC 845 ATTN
GRAND RAPIDS, MI49503-2560
 Phone: 616-391-1714
 Fax: 616-391-1332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MITCHELL H DEJONGE · (Male)

NPI Number 1740252766
Status Active
Credentials MD
Entity Individual
Enumeration date 02/03/2006
Last updated 06/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301065196
  • MI Medicaid 4173501
  • MI Other 0630868 BCBS
  • MI Other 1558407189 GROUP NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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