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Search › Michigan › 225200000X

Jonathan Mendicelli, PTA

NPI 1225658123 · on the registry since 2020 · sole proprietor

Practice

Address
280 W 40th St
Holland, MI 49423
Phone
(616) 796-3600
Organisation at this address
Resthaven
Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-21

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