Dr. Michael Lee Jones, M.D.
Family Medicine in Peru, IN. Individual provider (NPI-1).
NPI number1578657680
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1578657680
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Lee Jones
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 01053524A | IN | Yes |
Practice location
1496 W Hoosier BlvdPeru, IN 46970-3727
Phone 765-517-1078 · Fax 765-472-8999
Mailing address
1496 W Hoosier BlvdPeru, IN 46970-3727
Phone 765-517-1078 · Fax 765-472-8999
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