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Dr. Jeffery Joseph Libra, M.D.

Family Medicine in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1619009826
StatusActive
Last updated in NPPESJun 18, 2019

Details

NPI
1619009826
Entity type
Individual (NPI-1)
Name
Dr. Jeffery Joseph Libra
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 12, 2007
Last updated
Jun 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine4301048963MIYes

Practice location

3355 Eagle Park Dr Ne Ste 103
Grand Rapids, MI 49525

Phone 616-942-7400 · Fax 616-942-7405

Mailing address

3355 Eagle Park Dr Ne Ste 103
Grand Rapids, MI 49525-7004

Phone 616-942-7400 · Fax 616-942-7405

Other practice locations

451 Health Pkwy
Suite A
Paw Paw, MI 49079-8242

Phone 269-657-2550 · Fax 269-657-2285

451 Health Pkwy
Suite A
Paw Paw, MI 49079-8242

Phone 269-657-2550 · Fax 269-657-2285

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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