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Jonathan Wybo
NPI 1053741538 · on the registry since 2013
Practice
- Address
- 3181 Winans Street
Grand Rapids, MI 49534 - Phone
- (248) 345-6142
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan