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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

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