Search › Michigan › 1835P2201X
Mitchell Cavanaugh
NPI 1932667144 · on the registry since 2019
Practice
- Address
- 7782 20th Ave
Jenison, MI 49428 - Phone
- (616) 685-8700
- Clinicians at this address
- 12
Additional practice sites
- 200 Jefferson Ave Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 1835P2201X
1835P2201X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-23
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