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Dr. Matthew Wesley Medley, DO
Student in an Organized Health Care Education/Training Program in Jenison, Michigan
NPI 1033473053

Matthew Wesley Medley is a Student in an Organized Health Care Education/Training Program based in Wyoming, MI. Matthew Wesley Medley practices in Jenison, MI and has the professional credentials of DO. The NPI Number for Matthew Wesley Medley is 1033473053 and holds a License No. 5101020024 (Michigan).

The current practice location address for Matthew Wesley Medley is 7686 Georgetown Center Dr, Jenison, MI and can be reached out via phone at 616-252-8600 and via fax at 616-252-8660.

Location: 7686 Georgetown Center Dr, Jenison, MI, 49519-9606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033473053
Provider Name
Matthew Wesley Medley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7686 Georgetown Center Dr, Jenison, MI, 49519-9606
Phone Number
616-252-8600
Fax Number
616-252-8660
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5101020024 01 MI OSTEOPATHIC MEDICINE AND SURGERY PHYSICIAN LICENSE
5315055607 01 MI BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
institution
Provider Business Practice Location Address Details
Address
7686 Georgetown Center Dr
City
Jenison
State
Michigan
Zip
49428-8101
Phone Number
616-252-8600
Fax Number
616-252-8660
person
Provider Business Mailing Address Details
Address
7686 Georgetown Center Dr
City
Jenison
State
Michigan
Zip
49428-8101
Phone Number
616-252-8600
Fax Number
616-252-8660
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101020024 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101020024 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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