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JEFFREY DEVRIES MD NPI 1508845371


NPI Information

NPI: 1508845371
Provider Name: JEFFREY DEVRIES, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 23D2128579

Address:
18181 OAKWOOD BLVD
SUITE 101G
DEARBORN, MI
ZIP 48124
Phone: (313) 593-7240
Get Directions

Jeffrey Devries, MD is a pediatrics in Dearborn, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jeffrey Devries, MD NPI is 1508845371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

18181 OAKWOOD BLVD
SUITE 101G
DEARBORN, MI
ZIP 48124-032
Phone: (313) 593-7240

The CLIA number assigned to this NPI record is 23D2128579 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301042808MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B48602MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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