Provider Demographics
NPI:1417932872
Name:PAPP, JOHN P JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:PAPP
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1179 E PARIS AVE SE
Mailing Address - Street 2:STE 200
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-3682
Mailing Address - Country:US
Mailing Address - Phone:616-975-9100
Mailing Address - Fax:616-975-1161
Practice Address - Street 1:1179 E PARIS AVE SE
Practice Address - Street 2:STE 200
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3682
Practice Address - Country:US
Practice Address - Phone:616-975-9100
Practice Address - Fax:616-975-1161
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2012-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIJP069688207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
100010601OtherRR MEDICARE
MI1003352787OtherBCBS
MI103352787Medicaid
MI1003352787OtherBCBS
MI103352787Medicaid