Jonathon P State is a Family Medicine Physician based in Birmingham, MI. Jonathon P State practices in Birmingham, MI and has the professional credentials of MD. The NPI Number for Jonathon P State is 1376595066 and holds a License No. 4301074553 (Michigan).
The current practice location address for Jonathon P State is 757 Vinewood, Birmingham, MI and can be reached out via phone at 248-644-6029 and via fax at 519-258-7896.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301074553 | 01 | MI | PHYSICIAN LICENSE |
| C7104 | 01 | MI | MCARE |
| CC3713 | 01 | MI | RR MEDICARE |
| 127456 | 01 | MI | MERCY CARE CHOICES |
| 700H21076 | 01 | MI | BCBSM |
| 1591463 | 01 | MI | CIGNA |
| 1730121 | 01 | MI | UHC |
| 4120366 | 05 | MI | |
| 5228630 | 01 | MI | AETNA |
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