Individual provider · NPI-1
Jonathan Belding Abraham, M.D.
Internal Medicine, Hospice and Palliative Medicine · Grand Rapids, MI
NPI number1679953848
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1679953848
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Belding Abraham
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2015
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 4301107510 | MI | Yes |
| 207P00000X | Emergency Medicine | 4301107510 | MI |
Practice location
145 Michigan St Ne Ste 3410Grand Rapids, MI 49503-2563
Phone 616-391-9945
Mailing address
100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
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