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Contact Information

JOHN P EGAN III, MD
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI49546
 Phone: 616-267-8244
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN P EGAN III · (Male)

NPI # 1295977221
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2009
Last updated 05/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-136939
  • MI License # 4301114638
Hospital affiliation(s)
  • SPECTRUM HEALTH - BUTTERWORTH CAMPUS - (Acute Care)
    100 MICHIGAN ST NE
    GRAND RAPIDS, MI 49503
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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