Search › Michigan › 1835P0018X
Jonathan Ishow
NPI 1265317978 · on the registry since 2025
Practice
- Address
- 26130 Gratiot Ave
Roseville, MI 48066 - Phone
- (586) 776-8583
- Fax
- (586) 776-8966
- Organisation at this address
- Kroger Co Of Michigan
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-15
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