Michael J Dejong is a Surgery in Wyoming, Michigan. Michael J Dejong practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael J Dejong is 1609857143. The last update date is 2018-07-13.
Michael J Dejong's current location address is 1045 Gezon Pkwy Sw, Wyoming, Michigan. You can contact this provider via phone number 6164565311 and fax number 6164567955. The mailing address for Michael J Dejong is 1045 Gezon Pkwy Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Dejong |
|---|---|
| Address | 1045 Gezon Pkwy Sw, Wyoming, Michigan |
| Phone Number | 6164565311 |
| Fax Number | 6164567955 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1609857143 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2018-07-13 |
Provider Mailing Address Detail
| Address | 1045 Gezon Pkwy Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 495099542 |
| Phone Number | 6164565311 |
| Fax Number | 6164567955 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 4301059493 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0D16117 | MI | BCBS | |
| 3481167 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Michael J Dejong by the Centers for Medicare & Medicaid Services?
The Michael J Dejong has been issued the NPI (National Provider Identifier) 1609857143. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Michael J Dejong's physical address?
The Michael J Dejong is physically located at 1045 Gezon Pkwy Sw, in the city of Wyoming, MI, with the postal code 495099542.
What is Michael J Dejong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael J Dejong's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When did Michael J Dejong receive its 1609857143 assignment?
The Michael J Dejong was assigned its 1609857143 on 2005-11-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael J Dejong's details last updated?
The information pertaining to the Michael J Dejong, including its address, specialty, and other details, was most recently updated on 2018-07-13.