Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN ANDREW DENNIS, DO
ActiveDR. JONATHAN ANDREW DENNIS, DO is a Family Medicine healthcare provider located in TUSTIN, Michigan. NPI 1578523502 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TUSTIN, MI
Registration Details
- NPI Number
- 1578523502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2006 (20.425931742039 yrs)
- Last Updated
- May 29, 2014
- License
-
5101014532 (MI)
Practice Information
- Address
-
111 CHURCH STREETTUSTIN, MI, 496885113Browse MI providers · Browse ZIP 49688
- Phone
- 2318328560
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.