Individual provider · Type 1 NPI

Jennifer J. Watson, MD

Vascular Surgery Physician · Grand Rapids, MI

NPI number 1306048442 Active

Practice location

4069 Lake Dr SE, Suite 114
Grand Rapids, MI 49546-8816

Call (616) 267-8346 Map

Fax (616) 940-8004

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XLP01109 (RI)
Vascular Surgery Physician Primary 2086S0129X4301101424 (MI)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1306048442

Jennifer J. Watson, MD's National Provider Identifier is 1306048442, issued on Jun 1, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 19, 2021.