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Dr. Jeffrey D. Postlewaite
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Jeffrey D. Postlewaite |
| Gender: | M |
| Provider License Number If Given: | 5101009306 |
NPI Information:
| NPI: | 1043219561 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 12/5/2017 |
Provider Business Mailing Address:
| Address: | 5900 BYRON CENTER AVE SW MEDICAL ADMINISTRATION Wyoming, MI 49519 |
| Phone Number: | 6162523243 |
| Fax Number: | 6162520260 |
Provider Business Practice Location Address:
| Address: | 781 36TH ST SE Wyoming, MI 49548 |
| Phone Number: | 6162524100 |
| Fax Number: | 6162524953 |
Provider Taxonomy:
| Primary: | 207V00000X |
| Secondary (if any): | |
| State: | MI |
