JASON SCOTT PUCKETT

GRAND RAPIDS, MI
NPI1265727408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: MI  4301111232)
Enumeration Date2011-06-16
Last Update Date2021-08-03
Business Address
JASON SCOTT PUCKETT MD
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-7414
Mailing Address
JASON SCOTT PUCKETT MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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