Dr. Jason Patrick Coles, MD
Internal Medicine, Sleep Medicine in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1619088580
StatusActive
Last updated in NPPESApr 27, 2022
Details
- NPI
- 1619088580
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Patrick Coles
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Apr 27, 2022
- Last updated
- Apr 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RS0012X | Internal Medicine, Sleep Medicine | 4301097314 | MI | Yes |
| 207R00000X | Internal Medicine | 4301097314 | MI | |
| 2084S0012X | Psychiatry & Neurology, Sleep Medicine | 4301097314 | MI |
Practice location
4100 Lake Dr Se Ste 200Grand Rapids, MI 49546-8292
Phone 616-391-3759
Mailing address
100 Michigan St NeMc845
Grand Rapids, MI 49503-2560
Other practice locations
550 Munson Ave
Traverse City, MI 49686-3580
Traverse City, MI 49686-3580
Phone 231-935-6600 · Fax 231-935-9300
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